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.
Matis
Georgios K
GK
Department of Neurosurgery, University Hospital of Alexandroupolis, Democritus University of Thrace, Medical School, Alexandroupolis, Greece.
Birbilis
Theodossios A
TA
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