| Autor: |
Soria, Emilio, Camell, Helena, Dang, Hien |
| Předmět: |
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| Zdroj: |
Angiology; Oct1989, Vol. 40 Issue 10, p921-928, 8p |
| Abstrakt: |
Paresis of the oculomotor nerve is a very rare complication of an unrup-tured arteriosclerotic fusiform aneurysm of the basilar artery. A handful of cases are described in the world Literature. A fifty-four-year-old man with a history of hypertension and diabetes mellitus presented with painless partial oculomotor palsy of sudden onset. A cerebral angiogram demonstrated a tortuous fusiform deformity of the basilar artery and the origin of the posterior cerebral arteries, indicative of an arteriosclerotic aneurysmal dilation. A sudden onset of a pupil-sparing ophthalmoplegia is the typical history of a microvascular infarct of the third nerve, whereas pupillary sparing in aneurysmal oculomotor paresis is a very rare event. Special emphasis has been placed on the pupillary size as a guide for the indication of arteriography. The many exceptions to this rue suggest that cerebral arteriography may be indicated more often than generally believed. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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