Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2006
First a third, then a fourth nerve palsy in multiple intracranial aneurysms.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Dupas Bénédicte, Milea Dan, Sourour Nader, LeHoang Phuc
Аннотация
BACKGROUND: Intracranial aneurysms may be a cause of ocular motor dysfunction, the third nerve being more often involved than the two other cranial ocular motor nerves.
METHODS: We report the unusual occurrence of an isolated fourth nerve palsy related to a cavernous carotid aneurysm, angiographically confirmed. The patient already underwent clipping of a ruptured posterior communicating artery aneurysm 17 years earlier, revealed at that time by a third nerve palsy.
RESULTS: Endovascular treatment of the cavernous carotid aneurysm was performed, resulting in complete recovery of the palsy.
CONCLUSION: Occurrence of an acquired fourth nerve palsy in a patient with a past history of aneurysm should prompt neurovascular imaging as multiple aneurysms may cause sequential ocular motor palsies.
METHODS: We report the unusual occurrence of an isolated fourth nerve palsy related to a cavernous carotid aneurysm, angiographically confirmed. The patient already underwent clipping of a ruptured posterior communicating artery aneurysm 17 years earlier, revealed at that time by a third nerve palsy.
RESULTS: Endovascular treatment of the cavernous carotid aneurysm was performed, resulting in complete recovery of the palsy.
CONCLUSION: Occurrence of an acquired fourth nerve palsy in a patient with a past history of aneurysm should prompt neurovascular imaging as multiple aneurysms may cause sequential ocular motor palsies.