Isolated Unilateral Oculomotor Nerve Paresis: An Uncommon Presentation of Midbrain Stroke
North Florida Regional Medical Center
Internal Medicine | Nervous System Diseases | Neurology | Neurosciences
Isolated unilateral oculomotor nerve paresis is a rare presentation of midbrain cerebrovascular accident. This report describes a case of isolated unilateral oculomotor nerve paresis resulting from a tiny lacunar infarct in the midbrain. Given the patient’s poorly controlled type 2 diabetes, ischemic oculomotor nerve palsy was most likely etiology. However, diffusion-weighted magnetic resonance imaging (MRI) of the brain revealed a subacute lacunar infarction in left midbrain.
Publisher or Conference
Asnake Z, Noor J, Malhi M, Cockey G. Isolated unilateral oculomotor nerve paresis: an uncommon presentation of midbrain stroke. Consultant. Published online July 30, 2020. doi:10.25270/con.2020.07.00013