Intracranial dural carotid cavernous fistulas account for 10 to 15% of all intracranial arteriovenous malformations. Although these fistulas tend to regress spontaneously, permanent neurological deficits are observed in as many as 20-30% of untreated patients. In general, transvenous or transarterial embolization of the fistula is a safe and successful treatment option. Depending on the amount ...

BACKGROUND In patients with diabetes mellitus, epidural steroid injections (ESI) have been noted to cause significant elevation of blood glucose levels, typically lasting 1-3 days. Here, we describe a previously unreported complication of a diabetic third nerve palsy associated with an ESI. CASE DESCRIPTION A 66-year-old man with a history of coronary artery disease, hypertension, and insulin...

AIM One of the clinical presentations of intracranial aneurysm is unilateral oculomotor nerve palsy (ONP). The most common location is the posterior communicating artery. Surgical clipping and/or endovascular coiling of the aneurysm are the treatments. The aim of this study was to identify the factors that influence the postoperative recovery of patients who have posterior communicating aneurys...

Oculomotor palsy is one of the most frequent neuro-ophthalmologic complications in patients with diabetes. Specifically, sixth nerve common. A 51-year-old female a past medical history type 1 diabetes on insulin and hypertension presented complaints worsening headache diplopia. Physical exam was remarkable for recurrent palsy. Patient hemodynamically stable. Labs showed blood glucose 367 mg/dL ...

Purpose: We report a patient with bilateral dural arteriovenous fistulae (DAVF) who initially presented unilateral, isolated trochlear nerve palsy; and later contralateral, oculomotor palsy.Case summary: A 72-year-old male without any underlying disease or trauma history visited sudden vertical diplopia in both eyes that had developed 5 days prior. Brain magnetic resonance imaging (MRI) perform...