Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
Gülşah Zorgör1
, Hatem Hakan Selçuk2, Nazan Karagöz Sakallı1, Aysun Soysal1
1University of Health Sciences Turkey, Basaksehir Cam and Sakura City Hospital, Clinic of Neurology, Istanbul, Turkey
2University of Health Sciences Turkey, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Clinic of Radiology, Istanbul, Turkey
Keywords: Oculomotor nerve palsy, dissecting aneurysm, cerebral aneurysm, internal carotid artery
Abstract
Oculomotor nerve palsy secondary to a compressive lesion is typically presented with clinical findings like anisocoria and ptosis. Seldom does its atypical presentation mimic the features of other neurological diseases. Hence, considering the underlying cause is vital, as it may rarely be the first sign of a ruptured or non-ruptured aneurysm, even if the absence of pupil involvement does not suggest such compressive causes. Herein, we reported the case of a patient who presented with fluctuating ptosis and diplopia secondary to spontaneous dissecting aneurysm of the internal carotid artery.
Written consent was obtained from the patient.
Externally and internally peer-reviewed.
Surgical and Medical Practices: G.Z., H.H.S., Concept: G.Z., H.H.S., N.K.S., A.S., Design: G.Z., H.H.S., N.K.S., A.S., Data Collection or Processing: G.Z., H.H.S., N.K.S., A.S., Analysis or Interpretation: G.Z., H.H.S., N.K.S., A.S., Literature Search: G.Z., H.H.S., N.K.S., A.S., Writing: G.Z.
The authors have not declared any conflict of interest related to this article.
No financial support was received from any institution or person for our study