Painful ophthalmoplegia syndrome (spheno-cavernous syndrome) caused by a ruptured posterior communicating artery aneurysm. A brief report.
A case is reported of ruptured posterior communicating artery aneurysm presenting as a painful ophthalmoplegia syndrome (spheno-cavernous syndrome). This case suggests that there is need to carried out immediately neuroradiological studies when a painful ophthalmoplegia appears because of possible underlying intracranial aneurysm. This decisional algorithm should decrease the probability of aneurysmal rebleeding and increase the chance of oculomotor nerve function recovery.
Zingale
A
A
Istituto di Neurochirurgia, Ospedale Garibaldi, Catania, Italy.
Albanese
V
V
Giuffrida
A
A
Pappalardo
P
P
Barbagallo
G
G
D017542:Aneurysm, Ruptured / Q000150:complications*; D002426:Cavernous Sinus; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008875:Middle Aged; D009886:Ophthalmoplegia / Q000209:etiology*; D013101:Sphenoid Sinus; D013577:Syndrome