Third, Fourth, and Sixth Cranial Nerve Palsies Following Closed Head Injury

Abstract

CHI with palsy of an ocular motor nerve was more severe than CHI without ocular motor nerve palsy, as measured by the GCS, intracranial and skull imaging abnormalities, and a greater frequency of inpatient rehabilitation. Palsy of cranial nerve 3 was associated with relatively more severe CHI than was palsy of cranial nerves 4 or 6. The location of the imaging abnormalities did not correlate with a particular cranial nerve injury.

Delayed Bilateral Abducens Nerve Palsy after Head Trauma

“…It comprises approximately 10% of abducens nerve palsy patients and is typically associated with additional intracranial, skull, and cervical spine injuries 5,7,14,17,22,23) . Closed head injury (CHI) with palsy of an ocular motor nerve was more severe than CHI without ocular motor nerve palsy, as measured by the GCS 8) . We present a case in which bilateral abducens nerve and unilateral hypoglossal nerve palsy developed with a high Glasgow Coma Score (GCS) 3 days after head trauma.…”

Reversible Peripheral Third Nerve Palsy Following Avulsion of the sphenoid Wing Due to Blunt Head Injury: A Case Report and Review of Literature

“…Isolated involvement of peripheral fibers of the third nerve after head injury is a rare finding (1). In this article, we report a rare case of reversible peripheral third nerve palsy following avulsion of the sphenoid wing due to blunt head injury.…”

“…The fibers of the third nerve are normally arranged in a way that the parasympathetic fibers of pupil are located at the periphery, and the somatic motor axons of the extraocular muscles are located at the center of the nerve. The mechanisms proposed for traumatic third nerve palsy include injury at its exit site from the brainstem (1-5), compression at the tentorial notch due to brain herniation (indirect injury), and injury at the superior orbital fissure (1)(2)(3)(4)(5).…”

Isolated pathetick nerve paresis by compression from a dolichoectatic basilar artery: case report

“…Isolated trochear nerve palsy has been described as a result of the most diverse causes, such as: diabetes ischemic neuropathy 9 , traumas 10 , infectious diseases, including meningitis 8 , tumors 11 , demyelinating disease 12 , aneurysm 13 , strokes 14 , and complication of intracranial surgery 15 .…”