Document Detail


Oculomotor nerve palsy from posterior communicating artery aneurysm.
MedLine Citation:
PMID:  1940564     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The mortality rate for posterior communicating artery (PCA) aneurysm with oculomotor nerve palsy is 33 per 100. The incidence of oculomotor palsy with PCA aneurysm varies from 34% to 56%. The classic presentation of a PCA aneurysm involving the oculomotor nerve is sudden onset of severe unilateral frontal headache, ptosis, a dilated and fixed pupil, and limitations of adduction, depression, and elevation of the eye. Carotid arteriography is diagnostic. This case is presented because of the high probability of being seen first by a primary care physician. Delay in clinical recognition and treatment can have dire consequences for the patient.
Authors:
D V Zimmer
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society     Volume:  143     ISSN:  0024-6921     ISO Abbreviation:  J La State Med Soc     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-11-29     Completed Date:  1991-11-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7505618     Medline TA:  J La State Med Soc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  22-5     Citation Subset:  IM    
Affiliation:
Dept of Ophthalmology, Tulane Medical Center, New Orleans, LA 70112.
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Intracranial Aneurysm / complications*,  diagnosis,  surgery
Oculomotor Nerve Diseases / etiology*
Pregnancy
Pregnancy Complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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