scholarly journals Unilateral Oculomotor Nerve Palsy as an Initial Presentation of Bilateral Chronic Subdural Hematoma: Case Report

2013 ◽  
Vol 53 (9) ◽  
pp. 616-619 ◽  
Author(s):  
Ryosuke MATSUDA ◽  
Yasuo HIRONAKA ◽  
Hisashi KAWAI ◽  
Young-Su PARK ◽  
Toshiaki TAOKA ◽  
...  
2018 ◽  
Vol 43 (6) ◽  
pp. 391-393
Author(s):  
Andrea A. Tooley ◽  
M. Tariq Bhatti ◽  
John J. Chen

2019 ◽  
pp. 188-190
Author(s):  
Praveen Kumar ◽  
Sharad Pandey ◽  
Kulwant Singh ◽  
Mukesh Sharma ◽  
Prarthana Saxena

The common causes of isolated third nerve palsy are microvascular infarction, intracranial aneurysm, diabetes, hypertension and atherosclerosis. Here we are presenting a case of 26-year female presenting with a history of head injury two months back. She presented with ptosis on the left side. On computed tomography, a large left-sided chronic subdural hematoma with significant midline shift was found. Isolated ipsilateral third nerve palsy is a rare presentation with unilateral chronic subdural hematoma. Improvement in ptosis after surgery indicate a good neurological outcome.


Heliyon ◽  
2020 ◽  
Vol 6 (12) ◽  
pp. e05651
Author(s):  
Tokunori Kanazawa ◽  
Utaro Hino ◽  
Takumi Kuramae ◽  
Masayuki Ishihara

2019 ◽  
Vol 11 (1) ◽  
pp. 87-93
Author(s):  
Takuro Inoue ◽  
Hisao Hirai ◽  
Ayako Shima ◽  
Fumio Suzuki ◽  
Masayuki Matsuda

Chronic subdural hematoma (CSH) in the posterior fossa is extremely rare. The surgical strategy is still controversial. We report a case of bilateral CSH in the posterior fossa successfully treated with a single-burr hole surgery. A 74-year-old man under anticoagulation and antiplatelet therapy developed headache and nausea during observation for an asymptomatic supratentorial CSH. Radiological examinations revealed appearance of bilateral CSH in the posterior fossa associated with hydrocephalus. Upon rapid deterioration of the patient’s consciousness, an urgent treatment was required. A burr hole was made near the transverse-sigmoid junction on the left side to access the hematoma. No ventricular drainage was placed as his consciousness improved during the decompression of the hematoma. Postoperative computed tomography showed that bilateral CSH and hydrocephalus had been successfully treated. In bilateral CSH in the posterior fossa, there may be a connection between each side. CSH in the posterior fossa, when urgent, can be treated under local anesthesia with a unilateral burr hole irrigation.


Author(s):  
Shoji Saito ◽  
Hitoshi Hasegawa ◽  
Toru Takino ◽  
Kazuhiro Ando ◽  
Kohei Shibuya ◽  
...  

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