Traumatic avulsion of the oculomotor nerve documented by high-resolution magnetic resonance imaging

Lauren C Ditta; Asim F Choudhri; Ari M Blitz; James C Fleming; Natalie C Kerr; Thomas O'Donnell

doi:10.1016/j.jaapos.2015.03.021

Traumatic avulsion of the oculomotor nerve documented by high-resolution magnetic resonance imaging

J AAPOS. 2015 Aug;19(4):385-7. doi: 10.1016/j.jaapos.2015.03.021. Epub 2015 Jul 30.

Authors

Lauren C Ditta¹, Asim F Choudhri², Ari M Blitz³, James C Fleming⁴, Natalie C Kerr⁴, Thomas O'Donnell⁵

Affiliations

¹ Le Bonheur Children's Hospital, Memphis, Tennessee; Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis; St. Jude Children's Research Hospital, Memphis, Tennessee; Department of Pediatrics, University of Tennessee Health Science Center, Memphis. Electronic address: lditta@uthsc.edu.
² Le Bonheur Children's Hospital, Memphis, Tennessee; Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis; Department of Radiology, University of Tennessee Health Science Center, Memphis; Department of Neurosurgery, University of Tennessee Health Science Center, Memphis.
³ Department of Radiology, Johns Hopkins University, Baltimore, Maryland.
⁴ Le Bonheur Children's Hospital, Memphis, Tennessee; Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis; St. Jude Children's Research Hospital, Memphis, Tennessee.
⁵ Hamilton Eye Institute, University of Tennessee Health Science Center, Memphis; St. Jude Children's Research Hospital, Memphis, Tennessee.

PMID: 26235796
DOI: 10.1016/j.jaapos.2015.03.021

Abstract

Autopsy studies have described definitive traumatic avulsion of the oculomotor nerve from the brainstem; however, detailed characterization of mechanisms and localization of traumatic nerve injury has yet to be definitively described in vivo. We report the case of a 13-year-old girl in whom high-resolution magnetic resonance imaging confirmed irreversible injury to the left oculomotor nerve after trauma.

Publication types

Case Reports

MeSH terms

Accidents, Traffic*
Adolescent
Eye Injuries / diagnosis*
Eye Injuries / physiopathology
Female
Humans
Magnetic Resonance Imaging
Oculomotor Nerve Injuries / diagnosis*
Oculomotor Nerve Injuries / physiopathology
Visual Acuity / physiology