An isolated oculomotor nerve palsy and brainstem hemorrhage in a 53-year-old male patient with mild traumatic brain injury: illustrative case

Even though very rare, mild TBI can be associated with midbrain bleeding and an isolated ONP. The pattern of improvement of ONP starts from ptosis and then progresses to the extraocular muscles. The chance of recovery of pupillary size and reactivity to light is poor. https://thejns.org/doi/10.3171/CASE25741.

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Publication Details

Journal
Journal of Neurosurgery Case Lessons
Published
2026-02-02
DOI
https://doi.org/10.3171/case25741
Primary Topic
Ophthalmology and Eye Disorders
Type
article
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article

An isolated oculomotor nerve palsy and brainstem hemorrhage in a 53-year-old male patient with mild traumatic brain injury: illustrative case

Alemu Adise Mldie, Mestet Yibeltal Shiferaw, Yohannes Girma Zewdie, Atiklet Zerihun Zewdie et al.
Journal of Neurosurgery Case Lessons
Ophthalmology and Eye Disorders
article

An isolated oculomotor nerve palsy and brainstem hemorrhage in a 53-year-old male patient with mild traumatic brain injury: illustrative case

Alemu Adise Mldie, Mestet Yibeltal Shiferaw, Yohannes Girma Zewdie, Atiklet Zerihun Zewdie, Ermias Fikru Yesuf, Henok Teshome Molla
article en

Abstract

Even though very rare, mild TBI can be associated with midbrain bleeding and an isolated ONP. The pattern of improvement of ONP starts from ptosis and then progresses to the extraocular muscles. The chance of recovery of pupillary size and reactivity to light is poor. https://thejns.org/doi/10.3171/CASE25741.

Journal of Neurosurgery Case LessonsVol. 11(5)
Debre Berhan University (ET), Jimma University (ET), Debark University (ET), China Shenhua Energy (China) (CN), Addis Ababa University (ET)
No poverty
Openalex Percentile: Top 70%
Ophthalmology and Eye Disorders
DOIOpen Access PDFOpenAlex
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An isolated oculomotor nerve palsy and brainstem hemorrhage in a 53-year-old male patient with mild traumatic brain injury: illustrative case — Alemu Adise Mldie, Mestet Yibeltal Shiferaw, et al. · Journal of Neurosurgery Case Lessons (2026) | TGRS Research Map | TGRS