Abstract: | ABSTRACT: INTRODUCTION: Bilateral third nerve palsy secondary to a hemorrhagic stroke is exceptional. To the best ofour knowledge, no similar case has been reported in the literature. CASE PRESENTATION: We describe the case of a 69-year-old Moroccan man who presented with isolated suddenbilateral third nerve palsy. Computed tomography (CT) of the brain revealed a midbrainhematoma. The oculomotor function gradually and completely improved over eight monthsof follow-up. CONCLUSION: Stroke should be included in the differential diagnosis of sudden isolated oculomotorparalysis even when it is bilateral because of the severity of the underlying disease and theimportance of its therapeutic implications. |