A Case of Traumatic Ptosis & Mydriasis

A patient presents with ptosis and mydriasis after a traumatic head injury. Explore the differential diagnosis and key findings for a cranial nerve III palsy.

Skull fracture


The pictured patient suffered a traumatic head injury. What underlying diagnosis is suggested by the examination findings?

What is the most likely diagnosis?

Skull fracture
Infratentorial hemorrhage
Intraorbital foreign body
Uncal herniation
Carotid dissection

Cranial Nerve III Palsy, Mydriasis, Ptosis, Skull fracture, Traumatic Brain Injury

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