Oculomotor Nerve Palsy Associated with Duplication of Middle Cerebral Artery, Anterior Communicating Artery Aneurysm, and Parietal Meningioma.
Anterior communicating artery aneurysm
computed tomography angiography
duplicated middle cerebral artery
meningioma capillary blush
middle cerebral artery fenestration
oculomotor nerve palsy
Journal
Neuro-ophthalmology (Aeolus Press)
ISSN: 0165-8107
Titre abrégé: Neuroophthalmology
Pays: England
ID NLM: 8408966
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
07
03
2018
accepted:
09
03
2018
entrez:
7
2
2019
pubmed:
7
2
2019
medline:
7
2
2019
Statut:
epublish
Résumé
A 61-year-old male presents with diplopia of acute onset and progressive course. He has a history of previous intracranial haemorrhage that was surgically evacuated 7 years ago and was also associated with diplopia. Examination revealed left complete oculomotor nerve paralysis with a fixed and dilated left pupil. Computed tomography (CT) revealed encephalomalacia, evidence of previous craniotomy, and an incidental left parietal convexity meningioma. CT angiography of the brain revealed a left tortuous duplicate middle cerebral artery with fenestration of its proximal part, an anterior communicating artery aneurysm, and a characteristic capillary blush of the meningioma. Possible mechanisms of oculomotor nerve involvement are discussed.
Identifiants
pubmed: 30723526
doi: 10.1080/01658107.2018.1451902
pii: 1451902
pmc: PMC6351017
doi:
Types de publication
Journal Article
Langues
eng
Pagination
53-55Références
Eur Radiol. 2000;10(4):560-3
pubmed: 10795531
Am J Ophthalmol. 1992 May 15;113(5):489-96
pubmed: 1575221
Neuroophthalmology. 2013 Mar 22;37(2):82-85
pubmed: 28163761
Neurosurgery. 1988 Jun;22(6 Pt 1):1023-7
pubmed: 3047592
Arch Neurol. 1974 Oct;31(4):273-5
pubmed: 4413941
Surg Neurol. 1994 Jul;42(1):52-6
pubmed: 7940097
AJNR Am J Neuroradiol. 1998 Jan;19(1):45-9
pubmed: 9432156