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Direct traumatic third nerve palsy

N B Solomons, D J Solomon, J C de Villiers

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |July 19, 1980
    PubMed
    Summary
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    Traumatic third nerve palsy is a rare condition indicating potential permanent neurological deficits. Diagnosis requires confirmation of onset during impact and exclusion of hematomas.

    Area of Science:

    • Neurology
    • Ophthalmology
    • Trauma Surgery

    Background:

    • Traumatic third nerve palsy is an uncommon clinical presentation.
    • It signifies a potential for severe, lasting neurological damage.

    Purpose of the Study:

    • To emphasize the diagnostic criteria for traumatic third nerve palsy.
    • To highlight its significance as a prognostic indicator.

    Main Methods:

    • Clinical case review and diagnostic criteria analysis.
    • Differential diagnosis considerations, particularly ruling out intracranial hematoma.

    Main Results:

    • Third nerve palsy present from the moment of impact is key.
    • Absence of a compressing hematoma is crucial for diagnosis.

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    Conclusions:

    • Traumatic third nerve palsy is a serious sign of potential permanent neurological deficit.
    • Confident diagnosis relies on immediate onset post-trauma and exclusion of hematoma.