Document Detail

Unilateral oculomotor nerve paresis associated with anterior communicating artery aneurysm rupture--two case reports.
MedLine Citation:
PMID:  14620199     Owner:  NLM     Status:  MEDLINE    
Two cases of complete unilateral oculomotor nerve palsy occurred after subarachnoid hemorrhage (SAH) due to a ruptured anterior communicating artery aneurysm. A 61-year-old female suffered left oculomotor nerve paresis after mild SAH. This paresis was probably related to pre-existing oculomotor nerve stretching caused by abnormal positioning of the posterior cerebral and superior cerebellar arteries in the premesencephalic cistern. A 70-year-old female suffered right oculomotor nerve paresis after severe SAH. Elevated intracranial pressure might have caused this paresis, but the reason for the unilateral occurrence was undetermined. Both patients were treated by clipping of the aneurysm, and the signs of oculomotor nerve paresis gradually resolved. A pattern of pupil-sparing paresis was observed during the early recovery stage in both patients.
Toyotaka Aiba; Masafumi Fukuda
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  43     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-11-17     Completed Date:  2003-12-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  484-7     Citation Subset:  IM    
Department of Neurosurgery, Shibata Hospital, Shibata, Niigata, Japan.
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MeSH Terms
Aneurysm, Ruptured / complications*
Intracranial Aneurysm / complications*
Middle Aged
Oculomotor Nerve Diseases / etiology*
Subarachnoid Hemorrhage / complications*

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