{"pk":20308,"title":"Pupil Unleashed: Unraveling the Enigma of an Unusual Traumatic Head Injury: A Case Report","subtitle":null,"abstract":"<p><strong>Introduction:</strong> Isolated oculomotor nerve palsy after mild traumatic brain injury is unusual and prognostically significant due to unclear mechanisms and recovery challenges. We present a case of isolated oculomotor nerve palsy following minor head trauma, shedding light on this unusual occurrence.</p>\n<p><strong>Case Report:</strong> A 24-year-old male experienced severe vision loss and right-sided oculomotor nerve palsy after a motor vehicle collision. Initial imaging showed a hemorrhagic focus in the left posterior fossa and a contusion in the corpus callosum, yet no direct cause for the nerve palsy was found. Partial recovery was observed after 12 months.</p>\n<p><strong>Conclusion:</strong> This case underscores the importance of maintaining a heightened suspicion for occult intracranial findings, especially when the initial non-contrast computed tomography was inconclusive. Timely clinical assessment and appropriate radiological investigations by emergency physicians are crucial for improving the prognosis.</p>","language":"eng","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Oculomotor Nerve Palsy; Minor Head Trauma; Emergency Department; Case Report."}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/1537d1cx","frozenauthors":[{"first_name":"Akash","middle_name":"","last_name":"Daswaney","name_suffix":"","institution":"Department of Emergency Medicine, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Emergency Medicine"},{"first_name":"Shuchi","middle_name":"","last_name":"Abhishek","name_suffix":"","institution":"Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":""},{"first_name":"Sanjan","middle_name":"","last_name":"Asanaru kunju","name_suffix":"","institution":"Department of Emergency Medicine, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Department of Emergency Medicine"},{"first_name":"Priya","middle_name":"","last_name":"Pattath Sankaran","name_suffix":"","institution":"Department of Radiodiagnosis and Imaging, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Radiodiagnosis and Imaging"},{"first_name":"Ahlam","middle_name":"","last_name":"Abdul Rahman","name_suffix":"","institution":"Department of Anaesthesiology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, India-576104","department":"Anaesthesiology"}],"date_submitted":"2024-03-05T15:10:11.733000Z","date_accepted":"2024-04-15T15:36:51.691000Z","date_published":"2024-08-01T13:00:00Z","render_galley":{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20308/galley/24596/download/"},"galleys":[{"label":"Layout","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20308/galley/14582/download/"},{"label":"Final Article","type":"pdf","path":"https://journalpub.escholarship.org/uciem_cpcem/article/20308/galley/24596/download/"}]}