Traumatic 3rd nerve palsy with aberrant regeneration

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Identifier Traumatic 3rd NP with aberrant regeneration
Title Traumatic 3rd nerve palsy with aberrant regeneration
Subject Third Nerve Palsy, , Third Subnuclear Palsy, Aberrant Regeneration
Creator Daniel R. Gold, DO, Departments of Neurology, Ophthalmology, Neurosurgery, Otolaryngology - Head & Neck Surgery, The Johns Hopkins School of Medicine
Description This is a 20-yo-woman who experienced severe head trauma and diplopia upon awakening from a coma several weeks after the injury. She had a partial left 3rd nerve palsy (adduction spared), and when she looked to the right and down, her mildly ptotic lid elevated. Aberrant regeneration of CN 3 occurs mainly with trauma or with compressive lesions (eg, PCOM aneurysm, meningioma). The elevation in right gaze is explained by fibers intended to go to the left MR get misrouted to the left levator, while the elevation in down gaze is explained by fibers intended to go to the left IR get misrouted to the left levator causing levator activation and lid elevation.
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2016
Type Image/MovingImage
Format video/mp4
Format Creation Video
Rights Management Copyright 2016. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s6cc48cg
Setname ehsl_novel_gold
Date Created 2016-10-27
Date Modified 2018-02-09
ID 187761
Reference URL https://collections.lib.utah.edu/ark:/87278/s6cc48cg