Unilateral Ophthalmoplegia in Delirium Tremens Patient Due to Subdural Hematoma

Suren Limbu; Bipin K.C.; Binita Regmi; Santosh Chaudhary

Unilateral Ophthalmoplegia in Delirium Tremens Patient Due to Subdural Hematoma

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

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.

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

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