Abstract
In 12 patients with minimal oculomotor nerve deficits due to unruptured intracranial aneurysm, the nerve-related findings were incomplete and at least one element (ptosis, mydriasis, or extraocular muscle weakness) was spared in every patient. Although symptomatic, the affected cranial nerve III functions were only partially lost. Six patients had ptosis and mydriasis, three had ptosis and diplopia, two had mydriasis and diplopia, and one had mydriasis alone. Eleven patients had accompanying headaches that were remarkably variable and difficult to categorize. Cerebral angiography showed the aneurysms, but computed tomography missed one third of them. The symptomatic aneurysm arose from the internal carotid artery in six patients, and from the distal basilar artery in six. Fragments of a cranial nerve III palsy associated with recent onset and ipsilateral headache suggest an enlarging internal carotid or distal basilar artery aneurysm.
Citations
Jul 1, 1990·Journal of Neurology, Neurosurgery, and Psychiatry·E TeasdaleP Macpherson
Jan 1, 1989·Acta neurochirurgica·Y NagasekiH Nukui
Aug 15, 2002·Surgical Neurology·Jeffrey E ArleSteven L Galetta
Jul 20, 2010·Neurologic Clinics·Pierre-François Kaeser, Aki Kawasaki
Nov 3, 2007·The Journal of Emergency Medicine·Michael M Woodruff, Jonathan A Edlow
May 11, 2006·Neurologic Clinics·Andrew G Lee, Paul W Brazis
Nov 30, 2004·Clinical Neurology and Neurosurgery·G K WongJ M Lam
Nov 1, 1994·Survey of Ophthalmology·D A WeinbergT L Vollmer
Oct 18, 2002·American Journal of Ophthalmology·Timothy J McCulleyDwight R Kulwin
Sep 1, 1991·Arquivos de neuro-psiquiatria·M Fisher
Oct 1, 1989·Angiology·E SoriaH Dang
Jan 5, 2002·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·S SandersV A Purvin
Jan 16, 2007·Journal of Neurosurgery·Mark J KupersmithTerry A Cox
Aug 26, 1998·Stroke; a Journal of Cerebral Circulation·T W RaaymakersA Algra
Sep 1, 1996·Stroke; a Journal of Cerebral Circulation·P L MayerL N Hopkins
Jul 9, 2009·International Ophthalmology Clinics·Valerie A Purvin
Feb 4, 2010·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Eva C M Nowack, Michael Melkonian
Sep 29, 2014·NMC Case Report Journal·Taketo ShiodeToru Matsui
Sep 15, 2006·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·M B DíazL A Lemme Plaghos
Oct 13, 2017·Headache·Karl B Alstadhaug, Hilde K Ofte
Mar 29, 2002·Survey of Ophthalmology·Andrew G LeePaul W Brazis