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Traumatic orbital third nerve palsy.

S T Nagendran1, V Lee2, M Perry2

  • 1London Northwest Healthcare NHS Trust, UK.

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|June 4, 2019
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Summary
This summary is machine-generated.

Acute traumatic orbital third nerve palsies are rare, often affecting the intracranial nerve. This case series emphasizes careful orbital trauma assessment, including ocular movements and pupillary response, for accurate diagnosis and patient counseling.

Keywords:
Orbital traumathird nerve palsy

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Area of Science:

  • Ophthalmology
  • Neurology
  • Trauma Surgery

Background:

  • Acute traumatic third nerve palsies are uncommon.
  • Most reported cases involve the intracranial nerve, often with visual deficits.
  • Orbital injuries causing third nerve palsy are particularly rare.

Purpose of the Study:

  • To present a case series of acute traumatic orbital third nerve palsies.
  • To highlight the diagnostic importance of preoperative assessment in orbital trauma.
  • To differentiate neurogenic from soft tissue injuries in orbital trauma.

Main Methods:

  • Case series of three patients with acute traumatic orbital third nerve palsies.
  • Review of clinical presentations, focusing on ocular movements and pupillary reactions.
  • Preoperative assessment protocols for orbital trauma patients.

Main Results:

  • Three cases of acute traumatic orbital third nerve palsies were identified.
  • Orbital injury as the site of third nerve palsy is rare.
  • Assessment of ocular movements and pupillary reactions is crucial for diagnosis.

Conclusions:

  • Careful preoperative assessment is vital for patients with orbital trauma, especially with fractures.
  • Distinguishing neurogenic from soft tissue injury aids surgical timing.
  • Accurate diagnosis and counseling are essential for managing patient expectations.