Abstract
Oculomotor palsy is a condition characterized by Ptosis, Anisocoria, ocular pain, diplopia and defective eye movements. Management mainly includes corticosteroids and surgical correction. In Ayurveda, nerve palsies are categorized as ‘Vataja diseases’ but in palsies of cranial nerves, Pitta dosha is also associated along with Vata pertaining to the fact that brain is the site of Sadhaka Pitta. Thus, Oculomotor nerve palsy (3rd cranial nerve) considered to be Vata-pittaja ailment. The present case report is of 40 years male patient presented with OD (Oculus Dexter) oculomotor cranial nerve palsy with drooping eye lid and diplopia after intense pain on right side of head. There was no associated history of hypertension, diabetes or hyperlipidemia. Oculomotor nerve palsy was diagnosed as idiopathic after thorough assessment, examination, laboratory investigations and contrast MRI and MR angiography of brain, orbits. Patient was managed by Ayurvedic treatment specially Vata pitta pacifying medicines for one month and got complete remission. It is the one the known case in which complete resolution of this disease has been seen in one month only by Ayurvedic treatment. A case series or pilot studies may further strengthen above case report and open new treatment arena for such challenging cases. This case report can also be used to formulate hypothesis for the management of cranial nerve palsies from an ayurvedic perspective.

Key words: Anisocoria; Ayurvedic treatment; Diplopia; Nerve palsy; Ptosis; Shalakya; Squint; Case report