title: Double vision in a child.
abstract: A 10-year-old boy presented with a complete left oculomotor cranial nerve palsy. Diagnostic evaluation, including neuroimaging and cerebral angiography revealed a small intracranial aneurysm compressing the third nerve. Neurosurgical clipping of the aneurysm produced resolution of the third nerve palsy. The rarity of this presentation in a young patient is discussed, along with the importance of rapid diagnosis and treatment.
authors.affiliation: Department of Ophthalmology, Children's Hospital of Buffalo, State University of New York at Buffalo, 14222, USA.
authors.forename: I A
authors.initials: IA
authors.lastname: Mehkri
authors.forename: S
authors.initials: S
authors.lastname: Awner
authors.forename: S E
authors.initials: SE
authors.lastname: Olitsky
authors.forename: M S
authors.initials: MS
authors.lastname: Dias
authors.forename: T R
authors.initials: TR
authors.lastname: Elmer
mesh_terms: D002533:Cerebral Angiography; D002648:Child; D004172:Diplopia / Q000209:etiology*; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology*; D009802:Oculomotor Nerve / Q000473:pathology*; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology*