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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.
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.