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01-03-2021 | Ruptured Aneurysm | Case Report - Vascular Neurosurgery - Aneurysm

Unilateral oculomotor nerve palsy caused by arterial compression accompanying subarachnoid hemorrhage: a case report

Authors: Shoji Saito, Hitoshi Hasegawa, Toru Takino, Kazuhiro Ando, Kohei Shibuya, Haruhiko Takahashi, Jotaro On, Tomoaki Suzuki, Makoto Oishi, Yukihiko Fujii

Published in: Acta Neurochirurgica | Issue 3/2021

Abstract

Unilateral oculomotor nerve palsy, often caused by aneurysmal compression, is one of the decisive findings for confirming the site of a ruptured aneurysm. However, arterial compression can also cause unilateral oculomotor nerve palsy. Here, we present the case of a 59-year-old woman with a ruptured right internal carotid-posterior communicating artery aneurysm accompanied by contralateral oculomotor nerve palsy. The nerve was found to be compressed by the posterior cerebral artery and was isolated from the ruptured aneurysm. When confirming a ruptured aneurysm based on the evidence of unilateral oculomotor palsy, the arteries surrounding the nerve must be thoroughly assessed.

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Title: Unilateral oculomotor nerve palsy caused by arterial compression accompanying subarachnoid hemorrhage: a case report
Authors: Shoji Saito
Hitoshi Hasegawa
Toru Takino
Kazuhiro Ando
Kohei Shibuya
Haruhiko Takahashi
Jotaro On
Tomoaki Suzuki
Makoto Oishi
Yukihiko Fujii
Publication date: 01-03-2021
Publisher: Springer Vienna
Keywords: Ruptured Aneurysm
Oculomotor Nerve Palsy
Subarachnoid Hemorrhage
Aneurysm
Hematoma
Aneurysm
Subarachnoid Hemorrhage
Published in: Acta Neurochirurgica / Issue 3/2021
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-020-04633-x

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Unilateral oculomotor nerve palsy caused by arterial compression accompanying subarachnoid hemorrhage: a case report

Abstract

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