Document Detail

Fourth nerve palsy, homonymous hemianopia, and hemisensory deficit caused by a proximal posterior cerebral artery aneurysm.
MedLine Citation:
PMID:  12131467     Owner:  NLM     Status:  MEDLINE    
A 21-year-old man developed an ipsilateral fourth nerve palsy, contralateral hemianopia, and contralateral hemisensory deficit as manifestations of a proximal right posterior cerebral artery aneurysm. This unusual constellation of signs reflects the involvement of the structures that run in the ambient cistern. The fourth nerve palsy and homonymous hemianopia are attributed to compression by the aneurysm. The hemisensory loss is ascribed to compromise of thalamoperforate arteries emanating from a thrombosed portion of the aneurysm.
Jennifer K Hall; Dina A Jacobs; Tammy Movsas; Steven L Galetta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society     Volume:  22     ISSN:  1070-8022     ISO Abbreviation:  J Neuroophthalmol     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-07-19     Completed Date:  2002-11-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9431308     Medline TA:  J Neuroophthalmol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-8     Citation Subset:  IM    
Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia 19104, USA.
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MeSH Terms
Cerebral Angiography
Embolization, Therapeutic
Hemianopsia / diagnosis,  etiology*,  therapy
Intracranial Aneurysm / complications*,  radiography,  therapy
Intracranial Thrombosis / complications,  radiography,  therapy
Magnetic Resonance Imaging
Sensation Disorders / diagnosis,  etiology*,  therapy
Trochlear Nerve Diseases / diagnosis,  etiology*,  therapy
Visual Fields

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