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  • Title: Unilateral third nerve palsy and somnolent mutism.
    Author: Zermeño F, Del Brutto OH, Van Wielink G, Nader J.
    Journal: J Clin Neuroophthalmol; 1987 Jun; 7(2):93-7. PubMed ID: 2956290.
    Abstract:
    A 64-year-old man developed unilateral third nerve palsy and somnolent mutism. Computed tomography (CT) revealed a small unilateral midbrain infarct. Previous reports of somnolent mutism placed the lesion in both sides of the midbrain tegmentum, usually extending into the thalamus. The unilateral third nerve palsy, and high-resolution 4-mm contiguous tomographic sections of the brainstem, helped localize the lesion. To our knowledge, this is the first CT clinical report of somnolent mutism induced by unilateral midbrain infarct.
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