title: [Third cranial nerve palsy and Purtscher retinopathy in a child with multiple injuries].
abstract: METHODS
  A 4 year-old girl was referred to our hospital after have suffered a severe accident. The patient was diagnosed with complete third nerve palsy in her right eye and Purtscher retinopathy in her left eye.
  
  
  CONCLUSIONS
  Purtscher retinopathy is a rare condition. The diagnosis is made on clinical ground and its treatment is not well defined although it is believed that systemic steroids could improve the visual outcome. Traumatic third nerve palsy has a poor spontaneous recovery. The use of botulinum toxin might be useful in children to improve the recovery rate, maintaining binocularity, and avoiding amblyopia in other cases.
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, IdiPaz, Madrid, España. Electronic address: paulalarranaga@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Larrañaga-Fragoso
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, IdiPaz, Madrid, España.
authors.forename: Z
authors.initials: Z
authors.lastname: del-Barrio
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, IdiPaz, Madrid, España.
authors.forename: S
authors.initials: S
authors.lastname: Noval
authors.affiliation: Servicio de Oftalmología, Hospital Universitario La Paz, IdiPaz, Madrid, España.
authors.forename: N
authors.initials: N
authors.lastname: Pastora
authors.affiliation: Servicio de Radiología, Hospital Universitario La Paz, IdiPaz, Madrid, España.
authors.forename: A
authors.initials: A
authors.lastname: Royo
mesh_terms: D001284:Atrophy; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000150:complications* / Q000503:physiopathology; D000071576:Crush Injuries / Q000150:complications; D004487:Edema / Q000209:etiology; D005099:Exotropia / Q000188:drug therapy / Q000209:etiology; D005139:Eyeglasses; D005260:Female; D006801:Humans; D008266:Macula Lutea / Q000473:pathology; D009104:Multiple Trauma / Q000150:complications*; D015840:Oculomotor Nerve Diseases / Q000188:drug therapy / Q000209:etiology*; D009901:Optic Nerve Diseases / Q000209:etiology; D009917:Orbital Fractures / Q000209:etiology; D012160:Retina / Q000000981:diagnostic imaging; D012166:Retinal Hemorrhage / Q000209:etiology*; D041623:Tomography, Optical Coherence
chemical_list: D019274:Botulinum Toxins, Type A
keywords: Botulinum toxin; Childhood; Cranioencephalic trauma; Infancia traumatismo craneoencefálico; Oculomotor nerve palsy; Parálisis del nervio oculomotor; Purtscher rethinopathy; Retinopatía de Purtscher; Toxina botulínica