Oculomotor nerve palsy

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

2 days history of diplopia. Eye examination revealed left oculomotor nerve palsy.

Patient Data

Age: 30 years
Gender: Male
mri
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Axial
FLAIR
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Sagittal
T2
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Info

A tiny focus of diffusion restriction is noted centred on the oculomotor nucleus on the left side, just anterior and to the left of the aqueduct of sylvius and within the periaqueductal grey matter. It displays bright signal on T2 and FLAIR as well. 

Case Discussion

Recent lacunar infarction is seen involving the anatomical site of the left oculomotor nerve nucleus and responsible for patient's manifestations. 

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