Isolated unilateral paralysis of the oculomotor nerve may be caused by a variety of pathologic processes. Not infrequently it is due to compression of the nerve by hemorrhage from an aneurysm of the circle of Willis. Hemorrhage within the nerve itself, however, is extremely rare. The following case of disrupting hemorrhage into the third nerve with resulting subarachnoid hematoma, therefore, seems worth reporting.
REPORT OF A CASE
B. H., a white man aged 65, unemployed, was admitted to the neurologic service of the Beth Israel Hospital on Nov. 11, 1933,1 complaining of headache, vomiting and drooping of the right upper eyelid. It was said that there had been slight drooping before. The past history was not contributory. Except for lobar pneumonia, six years prior to admission, the patient had always enjoyed good health. Four weeks before entering the hospital, while drinking coffee in a restaurant, he suddenly became unconscious
Plaut A, Dreyfuss M. SPONTANEOUS HEMORRHAGE INTO OCULOMOTOR NERVE WITH RUPTURE OF NERVE AND FATAL SUBARACHNOID HEMORRHAGE. Arch NeurPsych. 1940;43(3):564–571. doi:10.1001/archneurpsyc.1940.02280030138012
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