The oculomotor nerve is responsible for the majority of eye movements (eye, eyelid, and pupil). Paralysis leads to ptosis and pupil dilation. Movement of the eyeball is impaired. Here, the CT SCAN shows left third cranial nerve palsy (due to left posterior communicating artery aneurysm).
- dropping of left sided upper eye lids (ptosis) since15 days. No pupillary light reflex, mydriasis (pupil dilation), movements of the eye reduced.
- History of left sided headache for past 5-6 years.
Throbbing pain in temple-left. Angry when disturbed during headache. Scolding others when angry.
During headache pain- sensation as if wants to pull the eye ball out.
- Vomiting—4-5 days, odor of neem seed.
- Chilly patient, can’t tolerate winter or rainy season.
- Appetite –increased in morning.
- Thirst—increased only in one week
- Motion—4-5 days once, Difficulty to pass stool ++
- Sleep—sleepy ,overpowering +++
- Sweat—odor—profuse, offensive—smell of neem seed
One year back the major incident that affected her mind was her son in law’s death. She feels forsaken, nobody is there to take care of her daughter’s family and take care of her health. Her main issue is who will secure her family; who will take charge of her grand children’s education.
While hearing of the son in law’s death she felt shock and fell down suddenly and became unconscious. That time her main experience was shatter and shock.
Great Anxiety about her grand children and family. Fear that someone will speak badly about her grand children.
Fear of an operation and worried that it might end up in death.
Sympathetic in nature
Totality of symptoms
- Forsaken feeling
- Intense anxiety, anticipatory
- Shock and shatter
- Ailments from grief, shock
- Perspiration profuse ,offensive
- Left sided paralysis, left sided headache
- Chilly patient
Sleeps well, no sleepiness and drowsiness.
Tiredness is better
Sweat odor—no putrid odor
Shock completely gone
Shattered felling gone
Drooping eye lid- no change
Pupil dilated no change
Generals –all better
Left eyelid can open slightly better. Lachrymation – mild
Able to move the eye lid
Headache – mild – on and off
Headache experienced 2 times and was mild
Eyeball movement good
Eye can open better compared to previous stage.
Pupil contracted slightly when light passes.
Eyelid opening better
Pupil contraction better
Eyelid can open 70 %
Pupil contraction—50 %
Vomiting headache, stool-difficulty, body pain
Rx – GELSEMIUM 200/1d/1pill
Eyelid can close and open fully.
Pupil contraction -80% better
No shatter feeling
Eye lid, eye ball movement good
Pupil contraction –still improving compared to previously.
The Gelsemium patient’s reaction is anxiety, like “How could this happen? I was just talking to them yesterday and now they are dead.” Gels feel shock and shatter. Cal carb patient’s reaction is anxious from watching or hearing about cruelty. While watching the cruelty on TV, they leave the room and close their eyes. Fear of operation, opinion of others, Insecurity, Dependent, Horrible sad stories affected her profoundly, Profuse offensive perspiration, Constipation, Chilly patient are the points that favor Calcarea carbonica It is a right sided remedy, but here the affinity is on the left. Drowsiness is more characteristic of Gels than Calcarea carbonica