Abstract

ZULUAGA RODAS, María Isabel  and  SUAREZ-ESCUDERO, Juan Camilo. Severe Neurotrophic keratopathy in patients with bilateral involvement of blink reflex with different neurological lesion post TBI: a case report. Acta Neurol Colomb. [online]. 2015, vol.31, n.2, pp.184-189. ISSN 0120-8748.  https://doi.org/10.22379/2422402226.

A case report of a patient with severe TBI associated with fractures of the skull base and cranial nerve involvement: II left cranial nerve, sensitive fibers from de V right cranial nerve and VII left cranial nerve. Because of complex lesions in cranial nerves, the patient had bilateral altered blink reflex. During the follow-up the patient developed severe neurotrophic keratopathy because. This is a rare cause of corneal lesion secondary to the damage to the trigeminal fibers which has a protective effect in the corneal epithelium. It is also important because could be a complications that could be avoidable en patients with severe TBI with an early diagnosis and treatment. There are few cases reported in the literature.

Keywords : Corneal ulcer; neurotrophic corneal ulcer; neurotrophic keratopathy; trigeminal nerve; craneocerebral trauma.

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