Acquired, isolated third nerve palsies in infants with cerebrovascular malformations

American Journal of Ophthalmology
Madhura A TamhankarRobert W Hurst

Abstract

To report two infants with acquired, isolated third nerve palsies attributable to intracranial cerebrovascular malformations. Observational case report. Two patients are described. Each was examined in a university-based pediatric ophthalmology and neuro-ophthalmology practice. An 8-month-old child presented with a pupil-involving partial left third nerve palsy because of a partially thrombosed fusiform aneurysm of the left internal carotid artery. A 3-month-old infant developed a right third nerve palsy from a giant arteriovenous fistula arising from an M2 branch of the right middle cerebral artery. Patients younger than 8 months and 3 months with acquired, isolated third nerve palsies resulting from intracranial cerebrovascular malformations could not be found in a MEDLINE search. In conclusion, at even this young age, acquired, isolated third nerve palsies may be the initial manifestation of an intracranial aneurysm or fistula. Magnetic resonance imaging (MRI) and MRI-angiography were adequate for detecting these processes.

References

Jul 11, 1992·Pediatric Neurology·F J DiMario, L B Rorke
May 1, 1992·Australian and New Zealand Journal of Ophthalmology·M G BranleyM S Borchert
Aug 31, 1999·Survey of Ophthalmology·I A MehkriT R Elmer

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Citations

Jun 2, 2005·Neuroimaging Clinics of North America·Vito LaRoccaLawrence M Kaufman
Jun 30, 2006·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·D R BuisW P Vandertop
Oct 12, 2010·Acta neurochirurgica·Nitin MukerjiJames E Dervin
Nov 12, 2013·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Vedang ShahKunal Rana
Nov 24, 2011·Neurosurgery Clinics of North America·Salah G AounH Hunt Batjer

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