Painful third nerve palsy in a patient with perimesencephalic subarachnoid haemorrhage.
A patient with perimesencephalic subarachnoid haemorrhage (PMSAH) developed a delayed third nerve palsy. Three formal cerebral angiograms, a computed tomography cerebral angiogram and a magnetic resonance angiogram all failed to reveal a vascular abnormality. Further investigations did not show any medical cause for the palsy. This appears to be the first case report of a patient with PMSAH presenting with a painful third nerve palsy.
Kamat
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AA
Department of Neurosurgery, Hull Royal Infirmary, Hull, East Yorkshire, UK.
Tizzard
S
S
Mathew
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B
D015901:Angiography, Digital Subtraction / Q000379:methods; D002533:Cerebral Angiography / Q000379:methods; D005260:Female; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D008875:Middle Aged; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000473:pathology; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods