Sartoretti Thomas, Sartoretti Elisabeth, Binkert Christoph, Czell David, Sartoretti-Schefer Sabine
Institut für Radiologie, Department of Radiology, Kantonsspital Winterthur, Brauerstrasse 15, 8401 Winterthur, Switzerland.
Klinik für Innere Medizin, Department of Medicine, Kantonsspital Winterthur, Brauerstrasse 15, 8401 Winterthur, Switzerland.
Radiol Case Rep. 2017 Jan 4;12(1):150-153. doi: 10.1016/j.radcr.2016.11.025. eCollection 2017 Mar.
Isolated traumatic oculomotor nerve palsy without internal ophthalmoplegia is a rare condition after closed head trauma. The nerve strain leads to intraneural edema with nerve swelling on T2-weighted magnetic resonance (MR) images and traumatic disruption of the blood peripheral nerve barrier with contrast enhancement on T1-weighted MR images. In this patient, susceptibility-weighted MR imaging allowed the direct visualization of the intraneural hemorrhage after suspected traumatic diffuse neuronal axonal injury.