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CASE REPORT
Year : 2018  |  Volume : 66  |  Issue : 1  |  Page : 166-167

Bilateral medial rectus palsy due to midbrain infarction following concussion head injury


Department of Strabismus and Paediatric Ophthalmology, M & J Institute of Ophthalmology, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Kartikey Singh
B-508, New PG Hostel Phase 2, Civil Hospital Campus, Asarwa, Ahmedabad - 380 016, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_570_17

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Here, we report a rare case of bilateral medial rectus palsy following closed head injury. An adult male had an accidental fall which rendered him unconscious. This was followed by diplopia and restricted ocular motility. He received supportive medical therapy. He was examined for systemic medical and ophthalmic findings. Routine laboratory tests and imaging techniques were employed as per the symptoms. Diffusion-weighted imaging on magnetic resonance imaging proved it to be a rare presentation of small bilateral midbrain infarct. He recovered fully after 8 months.


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