Background: Oculomotor nerve palsy caused by craniocerebral injury often leads to a significant decline in patients’ quality of life. This study aims to explore a comprehensive treatment approach combining Uyghur medicine, rehabilitation training, and acupuncture therapy, and to present a case report evaluating its clinical efficacy in improving ocular motor function and related symptoms. Case presentation: A patient sustained craniocerebral injury due to a traffic accident and presented with severe oculomotor nerve palsy. Initial head CT scan revealed multiple intracranial injuries. Interventions: The patient received comprehensive treatment consisting of Uyghur medicine guided by differential diagnosis, acupuncture therapy, and structured ocular motor rehabilitation training. The rehabilitation training was administered by a certified rehabilitation therapist with an intermediate professional title and included: eye movement exercises (10–15 times/day), eyelid lifting training (10–20 times/day), visual rehabilitation training (10–15 times/day), and pupillary response training (2–3 times/day), all conducted over a 20-day period. Clinical outcomes, including palpebral fissure height, diplopia score, and pupillary function, were systematically evaluated by the rehabilitation therapist at admission, on day 10, on day 24 (pre-discharge). The overall quality of life of patients was assessed using the 36-item Short Form Health Survey. The study was approved by the institutional ethics committee, and written informed consent was obtained from the patient. Results: Following comprehensive treatment, the patient demonstrated sustained improvement. The 10-day assessment revealed complete resolution of left ptosis and exotropia. Only mild diplopia persisted during esophoria, with moderate improvement in pupillary asymmetry (approximately 1 mm difference). The pre-discharge assessment at 24 days confirmed complete resolution of all primary symptoms (including ptosis, strabismus, and diplopia; diplopia score: 0). Pupil size, shape, and light reflexes returned to normal. No symptom recurrence was observed at the 3-month follow-up; CT imaging demonstrated complete hematoma absorption, fracture healing, and bone remodeling. The patient’s 36-item Short Form Health Survey quality of life assessment showed significant improvement across all dimensions. Conclusion: This case demonstrates that an integrated treatment approach combining Uyghur medicine, rehabilitation training, and acupuncture yields significant therapeutic efficacy in improving ocular motor dysfunction secondary to complex traumatic brain injury.
Yasheng et al. (Fri,) studied this question.