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Images in emergency medicine
Images in emergency medicine
An unusual gaze after head injury
  1. Wen-Cheng Liu1,
  2. Chih-Weim Hsiang2,
  3. Chang-Hung Hsu3
  1. 1 Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  2. 2 Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  3. 3 Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  1. Correspondence to Dr Chang-Hung Hsu, Department of Neurology, Tri-Service General Hospital and National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan; drshyu{at}seed.net.tw

https://doi.org/10.1136/emermed-2013-203462

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    A 51-year-old woman sustained a head injury with brief loss of consciousness during a car accident. She was immediately taken to our emergency department and presented with severe headache, dizziness and diplopia. On physical examination, she showed extraocular movements with failed adduction of the right eye while looking left (figure 1) but normal gaze while looking right. …

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    Footnotes

    • Contributors C-HH planned the study. C-WH interpreted and edited all images. W-CL wrote and submitted the study. All authors participated in the work.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.