Transient oculomotor nerve paresis in congenital distal basilar artery aneurysm.
The clinical and pathologic findings of a 10-month-old girl with congenital heart disease who died after rupture of a congenital distal basilar artery aneurysm are reported. The patient developed transient minimal oculomotor nerve paresis 7 days prior to suffering a massive subarachnoid hemorrhage. The finding of transient third nerve dysfunction, particularly in the context of recurrent syncope, should prompt investigation for an intracranial arterial aneurysm.
DiMario
F J
FJ
Department of Pediatrics, University of Connecticut Health Center, Farmington 06030.
Rorke
L B
LB
D001488:Basilar Artery / Q000002:abnormalities* / Q000473:pathology; D001921:Brain / Q000473:pathology; D005260:Female; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007223:Infant; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis* / Q000473:pathology; D009460:Neurologic Examination; D015840:Oculomotor Nerve Diseases / Q000151:congenital* / Q000175:diagnosis / Q000473:pathology; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed