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ABS TRACT Oculomotor nerve palsy causes reduced adduction, supraduction, infraduction, and ptosis with or without mydriasis. We report a case of isolated unilateral oculomotor nerve palsy due to hematoma in mesencephalone. A 30-yearsold male patient presented with sudden onset of left ptosis, vertical diplopia, and difficulty in reading with his left eye that had persisted for one week. Direct and indirect light reflexes were negative on his left eye. There was incomplete ptosis on his left eyelid. In primary position, the left eye was deviated outward and downward. Supraduction of the left eye was absent, infraduction and adduction were reduced. MRI demonstrated hematoma in mesencephalone. Three months later, patient’s symptoms decreased, MRI demonstrated resolution of the hematoma and cavernoma in pons and gamma knife therapy was recommended. Isolated unilateral oculomotor nerve palsy due to hematoma related to cavernoma in mesencephalone is seen rarely and complete or incomplete recovery may be observed.

Isolated Unilateral Oculomotor Nerve Palsy Due to Hematoma in Mesencephalone