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KMID : 1036520130030020125
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Clinical Neuro-Ophthalmology
2013 Volume.3 No. 2 p.125 ~ p.128
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Godolinium-Enhancement in Traumatic Oculomotor Nerve Palsy
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Noh Won-Young
Kim Ji-Soo
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Abstract
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Gadolinium enhancement of the oculomotor nerve has not been described in traumatic oculomotor nerve palsy even though it occurs in various disorders involving the oculomotor nerve. A 69-year-old woman sustained multiple traumatic injuries due to a motor vehicle accident. Neurological examination 11 days after the accident showed ptosis, limitation of adduction, elevation, and depression, and decreased pupillary responses to light and accommodative stimuli in the left eye. MRIs, 11 days after the accident, revealed gadolinium enhancement of the left oculomotor nerve in the cisternal portion. The patient showed a gradual improvement of the left oculomotor palsy, and follow-up MRIs 10 months later showed resolution of the gadolinium enhancement. Traumatic oculomotor palsy may show gadolinium enhancement, which may be ascribed to inflammatory responses to traumatic damage itself or the ischemic insults associated with trauma.
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KEYWORD
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Diplopia, Oculomotor nerve palsy, MRI, Gadolinium
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