Isolated bilateral oculomotor paralysis due to a ruptured aneurysm.
A patient presented with sudden headache and isolated bilateral third nerve palsy. Neuroradiologic examination disclosed a giant aneurysm of the right internal carotid artery. At postmortem examination, the aneurysm compressed and stretched both oculomotor nerves.
D000368:Aged; D001763:Blepharoptosis / Q000175:diagnosis; D002340:Carotid Artery Diseases / Q000150:complications* / Q000175:diagnosis; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis; D008297:Male; D009886:Ophthalmoplegia / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed