Unusual presentation of Chronic Subdural hematoma as Isolated Oculomotor palsy

Authors

DOI:

https://doi.org/10.3126/njn.v20i4.57453

Keywords:

Isolated oculomotor palsy, Ptosis, Chronic subdural hematoma

Abstract

Isolated oculomotor palsy (ONP) is an unusual presentation in chronic subdural hematomas (CSDH) and is very rare as an initial manifestation. Most commonly, ONP is caused by ischemic microangiopathy, posterior communicating artery aneurysm, uncal herniation, neoplasia, traumatic and/or any inflammatory conditions. ONP in chronic subdural hematoma is a sign of cerebral herniation that is typically associated with a deterioration of consciousness. We describe a case of chronic subdural hematoma that presented with an isolated ONP.

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Author Biographies

Upama Sharma, Department of Neurosurgery, Annapurna Neurological Institute & Allied Sciences, Maitighar, Kathmandu, Nepal

Department of Neurosurgery

Samriddha Malla, Department of Neurosurgery, Annapurna Neurological Institute & Allied Sciences, Maitighar, Kathmandu, Nepal

Department of Neurosurgery

Basant Pant, Department of Neurosurgery, Annapurna Neurological Institute & Allied Sciences, Maitighar, Kathmandu, Nepal

Department of Neurosurgery

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Published

2023-12-31

How to Cite

1.
Shrestha J, Rajbhandari P, Gurung P, Sharma U, Malla S, Pant B. Unusual presentation of Chronic Subdural hematoma as Isolated Oculomotor palsy. Nep J Neurosci [Internet]. 2023 Dec. 31 [cited 2024 May 18];20(4):58-61. Available from: https://www.nepjol.info/index.php/NJN/article/view/57453

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Section

Case Report