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DOI: 10.1055/s-0034-1387190
Shrapnel Injury of Isolated Third Cranial Nerve
Publication History
30 March 2014
11 June 2014
Publication Date:
11 August 2014 (online)
![](https://www.thieme-connect.de/media/jnlsr/201402/lookinside/thumbnails/10.1055-s-0034-1387190-1.jpg)
Abstract
Isolated third nerve palsy develops in numerous intracranial pathologies such as closed head trauma, tumor, and aneurysm. Isolated oculomotor nerve palsy caused by shrapnel injury is uncommon. After a penetrating intracranial shrapnel injury, our patient with oculomotor ophthalmoplegia underwent surgery. Microsurgery removed the shrapnel that was applying pressure on the third nerve, resulting in contusion. A partial recovery associated with regeneration was observed at month 9. Extraocular muscle surgery should be planned if palsy does not resolve over a prolonged period of time.
Note
This case was presented as an electronic poster at the 28th Scientific Conference of the Turkish Neurosurgery Association. Written informed consent was obtained from the relative of the patient who participated in this study.
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