LESI NERVUS OKULOMOTOR INVOLVED PUPIL ET CAUSA ANEURISMA PADA PASIEN DENGAN STROKE SUBARACHNOID HEMORRHAGIC DAN SYSTEMIC LUPUS ERITHEMATOSUS

Introduction: Oculomotor nerve palsy is an pathological condition caused by microvascular injury, head compression due to neoplasm or aneurysm, and also oculomotor can be autoimmune prosses. Peripheral neuropathy one of the clinical manifestations in patient with SLE, type cranial seen SLE patient. Patient have a higher risk serebrovascular event than general population. Case Illustration: Female 34 years old complained drop eyelid on left eye double vision when see both eyes since 1 mounth before examination. history headace diagnosed 2006 regular treatment. From examination, pupil anisocor, right was 3 mm diameter positif direct indirect reflex. On 6 negative Extraocular movement limited except abduction movement. CT-Scan examination shows bilateral subarachnoid hemorrhage from CT-Angiography dilatation siphon carotid artery. involving aneurysm SAH SLE. Discussion: mostly posterior communicating artery (PCoA) internal (ICA). Cerebrovascular imaging, MRA CTAngiography, showing its location. Risk cerebrovascular increased Management nowadays pulse dose corticosteroid. Conclusion: will increase event. Key Words : Oulomotor Nerve Palsy, Subarachnoid Hemorrhage, Systemic Lupus Erithematosus