Pupil-involving third-nerve palsy and carotid stenosis: rapid recovery following endarterectomy.
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.
Balcer
L J
LJ
Department of Neurology, University of Pennsylvania Medical Center, Philadelphia 19104, USA.
Galetta
S L
SL
Yousem
D M
DM
Golden
M A
MA
Asbury
A K
AK
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