Cranial nerve lesions following subarachnoid hemorrhage and aneurysm of the circle of Willis.
Fifty-eight of 570 patients with an aneurysm and/or subarachnoid hemorrhage displayed palsy of one or several cranial nerves. In 48 patients, this lesion occurred in the context of SAH (total n = 534). The oculomotor nerve was most frequently affected (38 cases), followed by the abducens nerve with the second-highest incidence (18 cases). The highest rate of cranial nerve symptoms occurred in cases of ophthalmic carotid aneurysms (83.3%). Damage to the abducens nerve regressed most rapidly.
Laun
A
A
Department of Neurosurgery, Justus-Liebig-University, Giessen, West Germany.
Tonn
J C
JC
D000328:Adult; D002941:Circle of Willis; D003389:Cranial Nerve Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000150:complications*