Postoperative oculomotor palsy due to vasospasm in a patient with a ruptured internal carotid artery aneurysm: a case report.
Postoperative oculomotor palsy is not uncommon in patients with aneurysm, but delayed postoperative peripheral oculomotor palsy due to vasospasm has not been reported. This paper presents such a patient. Oculomotor palsy was successfully treated with volume therapy. The importance of recognizing this entity and initiating appropriate treatment for vasospasm as soon as possible in order to prevent permanent deficit is emphasized.
D002340:Carotid Artery Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D002546:Ischemic Attack, Transient / Q000150:complications* / Q000000981:diagnostic imaging; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology* / Q000473:pathology; D011183:Postoperative Complications; D012422:Rupture, Spontaneous; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery