Oculomotor Nerve Palsy in a Patient with a Ruptured Middle Cerebral Artery Aneurysm
| Autor: | Suguru Yokosako, Toshiki Ikeda, Hiroki Kurita, Yuichiro Kikkawa, Ririko Takeda |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
genetic structures subarachnoid hemorrhage Computed Tomography Angiography middle cerebral artery aneurysm Aneurysm Ruptured General Biochemistry Genetics and Molecular Biology 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm Imaging Three-Dimensional medicine.artery medicine Oculomotor Nerve Diseases Humans cardiovascular diseases Oculomotor nerve palsy Superior cerebellar artery Palsy Rupture Spontaneous business.industry Oculomotor nerve Intracranial Aneurysm General Medicine Middle Aged medicine.disease Surgery oculomotor nerve palsy Middle cerebral artery cardiovascular system Female Internal carotid artery business Carotid Cistern 030217 neurology & neurosurgery |
| Zdroj: | The journal of medical investigation : JMI. 64(1.2) |
| ISSN: | 1349-6867 |
| Popis: | We describe a case of acute oculomotor nerve palsy caused by a ruptured middle cerebral artery (MCA) aneurysm. A 59-year-old female presenting with headache and nausea was admitted to our hospital. Her consciousness was alert, and had no other neurological deficit without left oculomotor nerve palsy. A computed tomography (CT) showed SAH extending from left sylvian cistern to basal cistern. CT angiography revealed a left MCA aneurysm which protruded toward internal carotid artery. The patient was successfully treated with surgical clipping. The oculomotor nerve palsy resolved immediately after the surgery. Perioperative radiological evaluation revealed that there were no evidence of midbrain hemorrhage or stroke, vessel anomaly of basilar, posterior cerebral or superior cerebellar artery, vasospasm, and uncal herniation. Furthermore, intraoperative findings revealed that the aneurysm was projected toward the affected carotid cistern and oculomotor nerve. From these findings and time course of oculomotor nerve palsy, it is suggested that the jet flow of bleeding from the ruptured MCA aneurysm caused oculomotor nerve palsy in the patient. J. Med. Invest. 64: 165-167, February, 2017. |
| Databáze: | OpenAIRE |
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