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Oculomotor palsy from minor head trauma

Initial sign of intracranial aneurysm

Departments of Ophthalmology (Drs. Walter and Newman), Neurology (Dr. Newman), and Neurosurgery (Dr. Newman), Emory University School of Medicine, Atlanta, GA; and the Department of Ophthalmology (Dr. Lessell), Harvard Medical School, and the Massachusetts Eye and Ear Infirmary, Boston, MA.

Minor head trauma precipitated oculomotor nerve palsies in two patients who subsequently were discovered to have ipsilateral posterior communicating artery aneurysms. A history of minor trauma should not dissuade investigation for underlying causes of oculomotor nerve palsy, including intracranial aneurysm.

Address correspondence and reprint requests to Dr. Nancy J. Newman, Neuro-ophthalmology Unit, Emory Eye Center, 1327 Clifton Rd., N.E., Atlanta, GA 30322.

Supported in part by a departmental grant (Ophthalmology) from Research to Prevent Blindness, Inc. (Dr. Newman).

Received April 26, 1993. Accepted for publication in final form June 25, 1993.

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