{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:21:40Z","timestamp":1787761300174,"version":"build-2784847793"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>Here, we report a rare case of bilateral medial rectus palsy following closed head injury. An adult male had an accidental fall which rendered him unconscious. This was followed by diplopia and restricted ocular motility. He received supportive medical therapy. He was examined for systemic medical and ophthalmic findings. Routine laboratory tests and imaging techniques were employed as per the symptoms. Diffusion-weighted imaging on magnetic resonance imaging proved it to be a rare presentation of small bilateral midbrain infarct. He recovered fully after 8 months.<\/jats:p>","DOI":"10.4103\/ijo.ijo_570_17","type":"journal-article","created":{"date-parts":[[2017,12,28]],"date-time":"2017-12-28T09:45:03Z","timestamp":1514454303000},"page":"166-167","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Bilateral medial rectus palsy due to midbrain infarction following concussion head injury"],"prefix":"10.4103","volume":"66","author":[{"given":"Hansa H","family":"Thakkar","sequence":"first","affiliation":[{"name":"Department of Strabismus and Paediatric Ophthalmology, M & J Institute of Ophthalmology, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apeksha","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Strabismus and Paediatric Ophthalmology, M & J Institute of Ophthalmology, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stuti","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Strabismus and Paediatric Ophthalmology, M & J Institute of Ophthalmology, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kartikey","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Strabismus and Paediatric Ophthalmology, M & J Institute of Ophthalmology, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20251013","first-page":"25","article-title":"Bilateral medial rectus palsy due to nuclear involvement in closed head injury (a case report)","volume":"24","author":"Tehra","year":"1976","journal-title":"Indian J Ophthalmol"},{"key":"R2-20251013","doi-asserted-by":"crossref","first-page":"715","DOI":"10.12659\/AJCR.893875","article-title":"Isolated medial rectus nuclear palsy as a rare presentation of midbrain infarction","volume":"16","author":"Sofiani","year":"2015","journal-title":"Am J Case Rep"},{"key":"R3-20251013","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1016\/j.amjmed.2005.01.050","article-title":"Midbrain infarction presenting isolated medial rectus nuclear palsy","volume":"118","author":"Rabadi","year":"2005","journal-title":"Am J Med"},{"key":"R4-20251013","doi-asserted-by":"crossref","first-page":"e64","DOI":"10.1212\/01.wnl.0000335267.63332.2c","article-title":"Teaching video neuroimage: Isolated medial rectus palsy in midbrain infarction","volume":"71","author":"Lee","year":"2008","journal-title":"Neurology"},{"key":"R5-20251013","first-page":"519","article-title":"Certain problems in the treatment of traumatic ocular palsy","volume":"79","author":"Lyle","year":"1959","journal-title":"Trans Ophthalmol Soc U K"},{"key":"R6-20251013","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1001\/archneur.60.11.1633","article-title":"Isolated superior rectus palsy due to contralateral midbrain infarction","volume":"60","author":"Kwon","year":"2003","journal-title":"Arch Neurol"},{"key":"R7-20251013","doi-asserted-by":"crossref","first-page":"499","DOI":"10.4103\/0028-3886.55579","article-title":"Midbrain infarct presenting as isolated medial rectus palsy","volume":"57","author":"Bal","year":"2009","journal-title":"Neurol India"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/02223307-201866010-00041","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:31:12Z","timestamp":1787758272000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/02223307-201866010-00041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_570_17","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]},"assertion":[{"value":"2017-07-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-09-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}