Focal subarachnoid hematoma: an unusual cause of delayed third cranial nerve paralysis.
We report a case of delayed onset of ultimately permanent oculomotor nerve palsy following a focal aneurysmal hemorrhage into the adjacent interpeduncular cistern. Operative inspection revealed no direct nerve compression by the aneurysmal fundus. Third cranial neuropathies following subarachnoid hemorrhage can occur independently of direct aneurysmal mechanical compression.
Meyer
Y J
YJ
Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas 75235-8855.
Paine
J T
JT
Batjer
H H
HH
D000368:Aged; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000601:surgery; D006801:Humans; D015840:Oculomotor Nerve Diseases / Q000209:etiology*; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000601:surgery