Skip to main content

Advertisement

Log in

Non-traumatic Occulomotor Nerve Palsy: A Rare Case Report and Discussion on Etiopathogenesis

  • Case Report
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

The ghost of the past has emerged as the horror of today. The fear of weakness/loss of eyesight following extraction is a common thinking amongst the orthodox people of Indian subcontinent. Occulomotor nerve paralysis following dental extraction is a rare complication. Although these ophthalmic complications in routine practice are rare, some time they do occur and pose difficulty to explain. Occulomotor nerve palsy is amongst the rare reported cases of ocular complication. Here we report a case of spontaneous recovery of occulomotor nerve palsy in an elderly diabetic patient and brief discussion on its etiopathogenesis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Boynes Seang, Echeverria Zydnia, Abdulwahab Mohammad (2010) Ocular complications associated with local anesthesia administration in dentistry. Dent Clin North Am 54:677–686

    Article  PubMed  Google Scholar 

  2. Lee AG, Brazis PW (2003) Clinical pathways in neuro-ophthalmology: an evidence-based approach, 2nd edn. Thieme Medical Publishing, NewYork

    Google Scholar 

  3. Hopf HC, Gutmann L (1990) Diabetic 3rd nerve palsy: evidence for a mesencephalic lesion. Neurology 40:1041–1045

    Article  CAS  PubMed  Google Scholar 

  4. Richards BW, Jones FR, Younge BR (1992) Causes and prognosis in 4, 278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Am J Ophthalmol 113:489–496

    Article  CAS  PubMed  Google Scholar 

  5. Rucker CW (1958) Paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 46:787–794

    Article  CAS  PubMed  Google Scholar 

  6. Rucker CW (1966) The causes of paralysis of the third, fourth and sixth cranial nerves. Am J Ophthalmol 61:1293–1298

    Article  CAS  PubMed  Google Scholar 

  7. Rush JA, Younge BR (1981) Paralysis of cranial nerves III, IV and VI: cause and prognosis in 1, 000 cases. Arch Ophthalmol 99:76–79

    Article  CAS  PubMed  Google Scholar 

  8. Trobe JD (1985) Isolated pupil-sparing third nerve palsy. Ophthalmology 92:58–61

    Article  CAS  PubMed  Google Scholar 

  9. Horowitz J, Almog Y, Wolf A et al (2005) Ophthalmic complications of dental anesthesia: three new cases. J Neuroophthlmol 25:95–100

    Google Scholar 

  10. Van der Bijil P, Meyer D (1998) Ocular complications of dental local anesthesia. SADJ 53:235–238

    Google Scholar 

  11. Rood J (1972) Ocular complication of inferior dental nerve block. A case report. Br Dent J 132:23–24

    Article  CAS  PubMed  Google Scholar 

  12. Kronman JH, Kabani S (1984) The neuronal basis for diplopia following local anesthetic injections. Oral Surg Oral Med Oral Pathol 58(5):533–534

    Article  CAS  PubMed  Google Scholar 

  13. Dreyfus PM, Hakim S, Adams RD (1957) Diabetic ophthalmoplegia: report of a case, with postmortem study and comments on the vascular supply of human oculomotor nerve. Arch Neurol Psychiatry 77:337–349

    Article  CAS  Google Scholar 

  14. Asbury AK, Aldredge H, Hershberg R, Fisher M (1970) Oculomotor palsy in diabetes mellitus: a clinico-pathologic study. Brain 93:555–566

    Article  CAS  PubMed  Google Scholar 

  15. Weber RB, Daroff RB, Mackey EA (1970) Pathology of oculomotor nerve palsy in diabetics. Neurology 20:835–838

    Article  CAS  PubMed  Google Scholar 

  16. Trobe JD (1985) Isolated pupil-sparing third nerve palsy. Ophthalmology 92:58–61

    Article  CAS  PubMed  Google Scholar 

  17. Trobe JD (1986) Isolated third nerve palsies. Semin Neurol 6:2

    Article  Google Scholar 

  18. Capo H, Warren F, Kupersmith MJ (1992) Evolution of oculomotor nerve palsies. J Clin Neuroophthal 10:21–25

    Google Scholar 

  19. Renowden SA, Harris KM, Hourihan MD (1993) Isolated atraumatic third nerve palsy: clinical features and imaging techniques. Br J Radiol 66:1111–1117

    Article  CAS  PubMed  Google Scholar 

  20. Davies GE, Shakir RA (1994) Giant cell arteritis presenting as oculomotor nerve palsy with pupillary dilatation. Postgrad Med J 70:298–299

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  21. Donahue SP, Taylor RJ (1998) Pupil-sparing third nerve palsy associated with sildenafil citrate (Viagra). Am J Ophthalmol 126:476–477

    Article  CAS  PubMed  Google Scholar 

  22. Migita DS, Devereaux MW, Tomsak RL (1997) Cocaine and papillary sparing oculomotor nerve paresis. Neurology 49:1466–1467

    Article  CAS  PubMed  Google Scholar 

  23. Jacobson DM, McCanna TD, Layde PM (1994) Risk factors for ischemic ocular motor nerve palsies. Arch Ophthalmol 112:961–966

    Article  CAS  PubMed  Google Scholar 

  24. Bortolami R, D’Alessandro R, Manni E (1993) The origin of pain in ischemic-diabetic third-nerve palsy. Arch Neurol 50:795

    Article  CAS  PubMed  Google Scholar 

  25. Naghmi R, Subuhi R (1990) Diabetic oculomotor mononeuropathy: involvement of pupillomotor fibres with slow resolution. Horm Metab Res 22:38–40

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Prajesh Dubey.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dubey, P., Bansal, V., Arun Kumar, K.V. et al. Non-traumatic Occulomotor Nerve Palsy: A Rare Case Report and Discussion on Etiopathogenesis. J. Maxillofac. Oral Surg. 14 (Suppl 1), 313–316 (2015). https://doi.org/10.1007/s12663-013-0525-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-013-0525-4

Keywords

Navigation