Document Detail

Transient third nerve palsy in a young patient with intracranial arteriovenous malformation.
MedLine Citation:
PMID:  12747657     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe a patient with transient third nerve palsy as the possible presenting sign of intracranial arteriovenous malformation. METHOD: Case report. RESULT: A 24-year-old female presented to ophthalmic casualty with sudden onset binocular diplopia and was diagnosed to have right sided partial third nerve palsy. Within 30 hours the third nerve palsy had recovered completely. A MRI scan and subsequent carotid angiogram revealed a large, high flow, trans-cortical Spetzler-Martin grade 4 arteriovenous malformation. The feeder vessel of the AVM originated from the right middle cerebral artery. Superficial venous drainage was via the superficial middle cerebral vein to the right transverse sinus. The deep venous drainage was via thalamostriate veins into markedly dilated internal cerebral vein and vein of Galen (Great cerebral vein). Venous reflux was noted around the midbrain from the vein of Galen. CONCLUSIONS: Transient third nerve palsy may rarely occur secondary to intracranial arteriovenous malformation. Ophthalmologists should consider neuroimaging in the investigations for transient cases of III nerve palsy in young patients.
G Wu; A Agrawal; F D Ghanchi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of ophthalmology     Volume:  13     ISSN:  1120-6721     ISO Abbreviation:  Eur J Ophthalmol     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-15     Completed Date:  2003-08-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9110772     Medline TA:  Eur J Ophthalmol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  324-7     Citation Subset:  IM    
Department of Ophthalmology, Bradford Royal Infirmary, Bradford, UK.
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MeSH Terms
Cavernous Sinus / abnormalities,  radiography
Cerebral Angiography / methods
Diplopia / etiology*,  radiography,  therapy
Intracranial Arteriovenous Malformations / complications*,  radiography,  therapy
Magnetic Resonance Imaging
Middle Cerebral Artery / abnormalities,  radiography
Oculomotor Nerve Diseases / etiology*,  radiography,  therapy

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