[Painful incomplete third-nerve palsy caused by an internal carotid-communicating posterior artery aneurysm].

نویسندگان

  • M I Pérez-Flores
  • M Velasco-Casares
  • J Lorenzo-Carrero
چکیده

CLINICAL CASE A 38-year-old woman presented acute-onset, painful incomplete third-nerve palsy caused by an internal carotid-posterior communicating artery (IC-PC) aneurysm. We describe the differential diagnosis with Tolosa-Hunt syndrome and the results after endovascular treatment. DISCUSSION The presence of pupil-sparing third-nerve palsy may not exclude the presence of an IC-PC aneurysm and orbital magnetic resonance imaging and/or computed tomography imaging must be performed in these cases. The prompt recovery after endovascular treatment is consistent with previous reports.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Transient Bilateral Oculomotor Nerve Palsy (TOP) Associated with Ruptured Anterior Communicating Artery Aneurysm: A Case Report

Unilateral oculomotor nerve palsy has been recognized as a localizing sign due to aneurysms along the internal carotid artery, particularly at the internal carotid-posterior communicating artery (ICA-PcomA) junction and is considered to be a variable symptom caused by direct pressure on the nerve. Therefore bilateral pupillary dilation in ruptured cerebral aneurysm cases can be misleading in in...

متن کامل

Resolution of third nerve paresis after endovascular management of aneurysms of the posterior communicating artery.

The effect of endovascular treatment on the recovery of neural function in patients with third nerve palsy caused by an aneurysm of the posterior communicating artery is poorly documented. We report three cases in which third nerve paresis resolved completely within 2 to 3 weeks of endovascular occlusion of a posterior communicating artery aneurysm.

متن کامل

Complete ophthalmoplegia with pupillary involvement as an initial clinical presentation of herpes zoster ophthalmicus.

Complete oculomotor nerve palsy with pupillary involvement is a neuro-ophthalmologic emergency because it is commonly caused by a compressive aneurysm at the junction of the posterior communicating artery and the internal carotid artery. If left untreated, this condition can be potentially fatal within days. The present report describes a 45-year-old African American woman with human immunodefi...

متن کامل

Complete Oculomotor Nerve Palsy Caused by Direct Compression of the Posterior Cerebral Artery.

Oculomotor nerve palsy frequently occurs because of external compression by an internal carotid-posterior communicating artery aneurysm and diabetes mellitus. In addition, pontine infarction, cavernous sinus tumors, demyelinating disease, and autoimmune disorder are well-known causes of oculomotor nerve palsy. However, cases of complete oculomotor nerve palsy by neurovascular conflicts presente...

متن کامل

Bilaterally isolated abducens palsy after an aneursym rupture is related with intracranial hypertension

BACKGROUND Bilateral and isolated abducens nerve palsy is a rare initial presentation after aneurysms rupture. Several possible mechanisms including intracranial hypertension have been purposed. To date, there have been no reports with objective measurements to demonstrate the relationship between intracranial pressure and isolated abducens palsy in the setting of acute subarachnoid hemorrhage ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Archivos de la Sociedad Espanola de Oftalmologia

دوره 84 1  شماره 

صفحات  -

تاریخ انتشار 2009