Oculomotor nerve palsy associated with internal carotid artery: case reports
Journal of the Korean Society of Emergency Medicine
; : 198-204, 2019.
Article
em Ko
| WPRIM
| ID: wpr-758447
Biblioteca responsável:
WPRO
ABSTRACT
Oculomotor nerve palsy limits the specific direction eyeball movement, and represents diplopia, mydriasis, and ptosis. The vascular-associated etiologies of oculomotor nerve palsy are the microvascular ischemia due to hypertension or diabetes, or compression of the nerve by the aneurysm. For the aneurysm, if not treated properly, it may result in mortality or severe neurological impairment. Thorough history taking, physical examinations, and proper imaging modality are needed to make an accurate diagnosis. A 76-year-old female with decreased mentality and anisocoria presented at our emergency department. An 83-year-old female presented with right ptosis and lateral-side deviated of the right eyeball. No definite lesion was noted on the initial non-contrast brain computed tomography (CT) and magnetic resonance imaging diffusion. An aneurysm was detected on CT angiography taken several hours later in the former patient. For the latter patient, a giant aneurysm was detected on magnetic resonance angiography that had been performed at another hospital 4 days earlier. These two patients underwent transfemoral cerebral angiography with coiling. They were discharged with no neurological sequelae.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Exame Físico
/
Encéfalo
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Imageamento por Ressonância Magnética
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Angiografia Cerebral
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Angiografia
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Artéria Carótida Interna
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Anisocoria
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Midríase
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Doenças do Nervo Oculomotor
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Mortalidade
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Aged
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Aged80
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Female
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Humans
Idioma:
Ko
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2019
Tipo de documento:
Article