Relative pupillary sparing third nerve palsies. To arteriogram or not?
Ten consecutive patients with acute relative pupillary sparing third nerve palsies were enrolled in a prospective study to determine the prevalence of intracranial aneurysm. All patients were imaged with either cerebral angiography or magnetic resonance angiography. None of the patients demonstrated an intracranial aneurysm. The prevalence of aneurysm in patients with relative pupillary sparing third nerve palsies may be low enough to preclude the use of routine angiography in this condition.
Cullom
M E
ME
Department of Ophthalmology, Eastern Virginia Medical School, Norfolk, USA.
Savino
P J
PJ
Sergott
R C
RC
Bosley
T M
TM
D000208:Acute Disease; D000368:Aged; D002343:Carotid Artery, Internal / Q000000981:diagnostic imaging; D002533:Cerebral Angiography; D005133:Eye Movements; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis*; D018810:Magnetic Resonance Angiography; D008297:Male; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000150:complications*; D015995:Prevalence; D011446:Prospective Studies; D011680:Pupil; D014711:Vertebral Artery / Q000000981:diagnostic imaging