Gomez-Figueroa, Enrique and Cardenas-Saenz, Omar and Quiñones-Pesqueira, Gerardo and Cervantes-Uribe, Roberto and Calleja-Castillo, Juan Manuel (2018) Bilateral Third Nerve Palsy in Mirror Aneurysms of the Posterior Communicating Arteries. European Journal of Case Reports in Internal Medicine, 5 (8). ISSN 2284-2594
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Abstract
Background: Bilateral third cranial nerve palsy has only been reported in a handful of conditions including some with inflammatory, tumoural and vascular causes. An urgent imaging study is mandatory to rule out vascular aetiology, mainly aneurysmal subarachnoid haemorrhage (aSAH). Case presentation: A 28-year-old Hispanic woman presented to the emergency department with a 21-day history of a sudden-onset and severe headache that on three occasions was accompanied by transient loss of awareness, the last episode occurring a week previously. The simple CT image showed minimal bleeding at the level of the perimesencephalic cisterns, with evidence of SAH. An angioCT revealed a 5×6 mm bilobed saccular aneurysm of the right posterior communicating artery and a 2×2 mm saccular aneurysm in the posterior left communicating artery. Conclusions: A mirror aneurysm is found in 2–25% of aSAH cases. To date there is no consensus about the optimal management of patients with these findings.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Third nerve palsy, oculomotor nerve palsy, subarachnoid hemorrhage, mirror aneurysm, thunderclap headache |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Greta Di Blasio |
| Date Deposited: | 11 Jun 2019 15:38 |
| Last Modified: | 11 Jun 2019 15:38 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/18766 |
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