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J Neurol Surg Rep 2014; 75(02): e217-e219
DOI: 10.1055/s-0034-1387190
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Shrapnel Injury of Isolated Third Cranial Nerve

Murat Ulutaş
1   Department of Neurosurgery, Sanko Hospital, Gaziantep, Turkey
,
Mehmet Seçer
2   Department of Neurosurgery, Şehitkamil State Hospital, Gaziantep, Turkey
› Author Affiliations
Further Information

Publication History

30 March 2014

11 June 2014

Publication Date:
11 August 2014 (online)

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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.

Keywords

third nerve - shrapnel - microsurgery

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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