title: Pupil-involving third-nerve palsy and carotid stenosis: rapid recovery following endarterectomy.
abstract: We report a patient who presented with a painful pupil-involving third-nerve palsy. Cerebral angiography revealed a high-grade stenosis of the ipsilateral internal carotid artery with a 4-cm intraluminal thrombus. Following emergent carotid endarterectomy, the patient's partial third-nerve palsy resolved in 1 hour. A pupil-involving third-nerve palsy may be an unusual presentation of impending carotid occlusion.
authors.affiliation: Department of Neurology, University of Pennsylvania Medical Center, Philadelphia 19104, USA.
authors.forename: L J
authors.initials: LJ
authors.lastname: Balcer
authors.forename: S L
authors.initials: SL
authors.lastname: Galetta
authors.forename: D M
authors.initials: DM
authors.lastname: Yousem
authors.forename: M A
authors.initials: MA
authors.lastname: Golden
authors.forename: A K
authors.initials: AK
authors.lastname: Asbury
mesh_terms: D016893:Carotid Stenosis / Q000503:physiopathology / Q000601:surgery*; D004691:Endarterectomy; D005123:Eye / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000503:physiopathology / Q000601:surgery*; D011379:Prognosis