| Ophthalmic segment aneurysmal subarachnoid hemorrhage presenting with contralateral abducens nerve palsy: a false localizing sign. | |
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MedLine Citation:
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PMID: 20619745 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Neuro-ophthalmic manifestations of aneurysmal subarachnoid hemorrhage are commonly linked to a palsy of the cranial nerve in close proximity to the aneurysm or to chronic intracranial hypertension. CASE REPORT: A patient with subarachnoid hemorrhage secondary to a rupture of an intracranial right ophthalmic segment internal carotid artery aneurysm presented with an acute-onset contralateral abducens nerve palsy. There were no clinical or radiologic features of chronic intracranial hypertension. Magnetic resonance imaging showed a co-existent ectatic basilar artery on the left side of the pons in close relation to the sixth nerve. CONCLUSION: Abducens weakness in the above-50 age group is most commonly caused by a vascular etiology. The authors discuss the pathogenesis of this rare clinical entity and present pertinent literature review. |
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Authors:
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Sunil V Furtado; Dilip Mohan; Alangar S Hegde |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Optometry (St. Louis, Mo.) Volume: 81 ISSN: 1558-1527 ISO Abbreviation: Optometry Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-23 Completed Date: 2010-12-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100912421 Medline TA: Optometry Country: United States |
Other Details:
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Languages: eng Pagination: 450-3 Citation Subset: IM |
Copyright Information:
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Copyright 2010 American Optometric Association. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Neurosurgery, Sri Sathya Sai Institute of Higher Medical Sciences, EPIP Area, Whitefield, Bangalore, Karnataka State, India. sunilvf@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abducens Nerve Diseases
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etiology*,
pathology Basilar Artery Humans Magnetic Resonance Imaging Male Middle Aged Subarachnoid Hemorrhage / complications*, pathology |
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