Document Detail


Isolated contralateral post-ictal oculomotor nerve palsy following supratentorial craniotomy. Case report.
MedLine Citation:
PMID:  19448971     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The authors report the unique occurrence of an isolated post-ictal contralateral oculomotor nerve (OCN) palsy following excision of a medial frontal oligoastrocytoma. A 45-year-old male presented with a history of generalized tonic clonic seizures (GTCS) for 8 years. His neurological examination was unremarkable. Magnetic resonance imaging (MRI) of the brain revealed a left frontopolar low grade glioma. Nine hours after an uneventful near total microsurgical excision, the patient had a GTCS, following which he was noted to have an isolated right-sided OCN palsy. The immediate post-ictal computed tomographic scan and magnetic resonance images acquired 2 weeks after surgery failed to reveal any abnormality. The palsy had recovered completely by the 9-month follow-up.
Authors:
Manish Singh Sharma; Karanjit Singh Narang; Bhawani Shankar Sharma
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-05-16
Journal Detail:
Title:  Acta neurochirurgica     Volume:  151     ISSN:  0942-0940     ISO Abbreviation:  Acta Neurochir (Wien)     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-24     Completed Date:  2009-10-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0151000     Medline TA:  Acta Neurochir (Wien)     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  999-1000; discussion 1000     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India. -manishsinghsharma@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Astrocytoma / pathology,  surgery*
Brain Neoplasms / pathology,  surgery*
Craniotomy / adverse effects*,  methods
Epilepsy, Tonic-Clonic / complications*,  physiopathology
Frontal Lobe / pathology,  physiopathology,  surgery
Functional Laterality / physiology
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Oculomotor Nerve / physiopathology
Oculomotor Nerve Diseases / etiology*,  physiopathology
Tomography, X-Ray Computed

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