Posterior communicating artery aneurysm-induced third nerve palsy: clipping or coiling?
We present a case of a 38-year-old man who underwent neurosurgical clipping of a posterior communicating artery aneurysm causing a third nerve palsy. Pupil size and extraocular muscle movements became normal within one year and a mild residual ptosis was noted. The role of surgical and endovascular treatment is discussed. This case illustrates the difficulties arising in choosing the most appropriate therapeutical intervention.
Department of Neurosurgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Medical School, Alexandroupolis, Greece.
Georgios K
GK
Matis
Theodossios A
TA
Birbilis
D000328:Adult; D001763:Blepharoptosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008297:Male; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome