PMID: 9444584Jan 28, 1998Paper

Painful ophthalmoplegia syndrome (spheno-cavernous syndrome) caused by a ruptured posterior communicating artery aneurysm. A brief report

Journal of Neurosurgical Sciences
A ZingaleG Barbagallo

Abstract

A case is reported of ruptured posterior communicating artery aneurysm presenting as a painful ophthalmoplegia syndrome (spheno-cavernous syndrome). This case suggests that there is need to carried out immediately neuroradiological studies when a painful ophthalmoplegia appears because of possible underlying intracranial aneurysm. This decisional algorithm should decrease the probability of aneurysmal rebleeding and increase the chance of oculomotor nerve function recovery.

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