Midbrain hematoma presenting with isolated bilateral palsy of the third cranial nerve in a Moroccan man: a case report
Department of Neurology, University Hospital Hassan II, Fez, Morocco
Journal of Medical Case Reports 2012, 6:197 doi:10.1186/1752-1947-6-197Published: 16 July 2012
Bilateral third nerve palsy secondary to a hemorrhagic stroke is exceptional. To the best of our knowledge, no similar case has been reported in the literature.
We describe the case of a 69-year-old Moroccan man who presented with isolated sudden bilateral third nerve palsy. Computed tomography (CT) of the brain revealed a midbrain hematoma. The oculomotor function gradually and completely improved over eight months of follow-up.
Stroke should be included in the differential diagnosis of sudden isolated oculomotor paralysis even when it is bilateral because of the severity of the underlying disease and the importance of its therapeutic implications.