Transient Bilateral Oculomotor Nerve Palsy (TOP) Associated with Ruptured Anterior Communicating Artery Aneurysm: A Case Report
نویسندگان
چکیده
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 indicating brain herniation or severe global cerebral ischemia.
منابع مشابه
Ruptured Anterior Communicating Artery Aneurysm Causing Bilateral Oculomotor Nerve Palsy : A Case Report
A rare case of bilateral third cranial nerve palsy due to a ruptured anterior communicating artery aneurysm is presented. A 68-yr-old woman was semicomatose with bilaterally fixed dilated pupil, abducted eyes, and ptosis. A computed tomography demonstrated extensive hemorrhage spreading around the both Sylvian and interhemisheric fissure without focal mass effect. Intracranial pressure via extr...
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