A pupil-sparing oculomotor palsy from a contralateral giant intracavernous carotid aneurysm.
A patient presenting with a left pupil-sparing oculomotor palsy and periorbital pain was subsequently found to have a giant saccular aneurysm of the right internal carotid artery within the cavernous sinus. The aneurysm was of the contralateral artery compared to the side of all presenting neuro-ophthalmic signs and symptoms. Diagnosis was achieved by bilateral carotid arteriography and surgical treatment with a Crutchfield arterial clamp and bypass graft has returned the patient essentially to normalcy.
Department of Veterans Affairs Medical Center Eye Clinic, Huntington, WV.
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JE
Terry
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T
Stout
D000328:Adult; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging / Q000601:surgery*; D002426:Cavernous Sinus; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D009886:Ophthalmoplegia / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D014792:Visual Acuity; D014794:Visual Fields