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Transient traumatic isolated neurogenic ptosis after a mild head trauma: a case report.
- Source :
-
BMC ophthalmology [BMC Ophthalmol] 2015 Nov 08; Vol. 15, pp. 161. Date of Electronic Publication: 2015 Nov 08. - Publication Year :
- 2015
-
Abstract
- Background: Transient traumatic isolated neurogenic ptosis (TTINP) is a sporadically reported rare entity. However, to the best of our knowledge, nearly all the reported cases are either secondary to direct periorbital trauma or surgery. We would like to report on a case of TTINP with countre-coup injury of the periorbital region.<br />Case Presentation: A 49-year-old female slipped and fell down while walking. She was hospitalized with a moderate headache and undisturbed mental state. The patient recalled that the force bearing point was her occipital region. Physical examination and computed tomography (CT) on admission showed right isolated ptosis and mild contusion and laceration in the bilateral frontal cortex. Further radiological investigation revealed nothing remarkable except for a fracture of the superior portion of the right medial orbital wall. She was managed conservatively and recovered completely in two months.<br />Conclusion: TTINP might manifest as a unique entity with a relatively mild, reversible, and non-devastating injury to the terminal branch of the oculomotor nerve and for which perhaps no special treatment is needed. The proposed mechanism is injury of the terminal branch of the superior division of the oculomotor nerve.
- Subjects :
- Blepharoptosis diagnosis
Blepharoptosis physiopathology
Female
Humans
Middle Aged
Oculomotor Muscles innervation
Oculomotor Nerve Diseases diagnosis
Oculomotor Nerve Diseases physiopathology
Orbital Fractures diagnostic imaging
Orbital Fractures physiopathology
Tomography, X-Ray Computed
Accidental Falls
Blepharoptosis etiology
Eyelids innervation
Oculomotor Nerve Diseases etiology
Orbital Fractures etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2415
- Volume :
- 15
- Database :
- MEDLINE
- Journal :
- BMC ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 26549147
- Full Text :
- https://doi.org/10.1186/s12886-015-0153-5