You are here

Article Text

Article menu
Download PDFPDF
Neurological picture
Neurological picture
Injury of the oculomotor nerve in a patient with traumatic brain injury: diffusion tensor tractography study
  1. Hyeok Gyu Kwon1,
  2. Min Su Kim2,
  3. Seong Ho Kim2,
  4. Sung Ho Jang1
  1. 1 Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Daegu, Republic of Korea
  2. 2 Department of Neurosurgery, College of Medicine, Yeungnam University, Daegu, Republic of Korea
  1. Correspondence to Dr Sung Ho Jang, Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University 317–1, Daemyungdong, Namku, Taegu 705–717, Republic of Korea; strokerehab{at}hanmail.net

https://doi.org/10.1136/jnnp-2013-305111

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    A 24-year-old female who had suffered a pedestrian traffic accident underwent conservative management for traumatic diffuse axonal injury at the Department of Neurosurgery in a University Hospital. The patient showed a stuporous mental state at admission and the patient's Glasgow Coma Scale score was 9 at that time. Brain MRI performed at 7 weeks from onset showed leukomalactic lesions in the body, isthmus and splenium of the corpus callosum (figure 1A). Her right eyelid showed complete ptosis, and her right eye was deviated outward and downward in primary position. She was not able to move her eyes in any direction, except for abduction, and her right pupil was dilated and non-reactive to light.

    Figure 1

    (A) T2-weighted brain MR images at 7 weeks after onset show leukomalactic lesions in the body, isthmus and splenium of the corpus callosum. (B) Diffusion tensor tractography (DTT) of the right oculomotor nerve of the patient showed a discontinuation (blue …

    View Full Text

    Footnotes

    • Contributors HGK: Study concept and design, Acquisition and analysis of data, MSK: Study concept and design, Acquisition and analysis of data, SHK: Acquisition and analysis of data, Drafting of the manuscript, SHJ: Study concept and design, Drafting and critical revision of the manuscript.

    • Funding The DGIST R&D Programme of the Ministry of Education, Science and Technology of Korea grant number: 13-BD-0401.

    • Competing interests None.

    • Patient consent Obtained.

    • Ethics approval This study was approved by the Institutional Review Board of Yeungnam University Hospital.

    • Provenance and peer review Not commissioned; externally peer reviewed.