Unilateral Ophthalmoplegia in Delirium Tremens Patient Due to Subdural Hematoma

Authors

  • Suren Limbu Department of Psychiatry, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
  • Bipin K.C. Department of Psychiatry, Western Regional Hospital, Pokhara, Nepal
  • Binita Regmi Department of Psychiatry, Lumbini Provincial Hospital, Butwal, Nepal
  • Santosh Chaudhary Department of Ophthalmology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal

DOI:

https://doi.org/10.3126/jpan.v11i1.53874

Keywords:

Alcohol dependence, Delirium tremens, Oculomotor Nerve Palsy, Ophthalmoplegia, Sub dural hematoma

Abstract

Ophthalmoplegia or the paralysis of nerves supplying extraocular muscles can be due to numerous etiologies. In alcohol users, ophthalmoplegia might be due to Wernicke's encephalopathy. A high dose of thiamine should be used with a high index of suspicion in such cases, but at the same time, other life-threatening conditions should not be missed. Careful history taking, clinical features and neuro imaging can guide in identifying the likely aetiology. Here, we present a case of isolated unilateral oculomotor nerve palsy due to subdural hematoma in a patient with delirium tremens.

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Published

2022-12-31

How to Cite

Limbu, S., K.C., B., Regmi, B., & Chaudhary, S. (2022). Unilateral Ophthalmoplegia in Delirium Tremens Patient Due to Subdural Hematoma. Journal of Psychiatrists' Association of Nepal, 11(1), 46–48. https://doi.org/10.3126/jpan.v11i1.53874

Issue

Vol. 11 No. 1 (2022)

Section

Case Report

License

Copyright (c) 2022 Journal of Psychiatrists' Association of Nepal

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