Traumatic Unilateral Tegmental Hematoma Representing Internuclear Ophthalmoplegia and Hornor's Syndrome: A Case Report

Traumatic intracerebral hemorrhage associated with internuclear ophthalmoplegia is uncommon and usually presents itself in combination with diffuse axonal injury or cerebral contusion. On a review of the literatures, there hav been 23 cases of post-traumatic internuclear ophthalmoplegia reported. The authors are reporting a case of pure traumatic unilateral internuclear ophthalmoplegia with Hornor's syndrome caused by traumatic unilateral tegmental hemorrhage without diffusse axonal injury or cerebral contusion. The lesion was diagnosed by magnetic resonance image(MRI) and computed tomography(CT). The clinical feature, mechanism, and prognosis are discussed together with a review of the literatures.