Bilateral abducens nerve palsy following ruptured anterior communicating artery aneurysm: report of 2 cases.
Isolated abducens nerve palsies associated with intracranial aneurysms have rarely been reported. Their association with anterior communicating artery (ACoA) is even rarer. Intracisternal clot formation and elevated intracranial pressure has been proposed to be the responsible mechanisms. Herewith, we report two cases of bilateral abducens palsies following ruptured ACoA aneurysms and speculated the possible mechanisms. Opening of Liliequist's membrane provides clinical improvement due to CSF release.
Göksu
E
E
Department of Neurosurgery, Akdeniz University School of Medicine, Antalya, Turkey.
Akyüz
M
M
Gürkanlar
D
D
Tuncer
R
R
D020434:Abducens Nerve Diseases / Q000209:etiology* / Q000503:physiopathology; D017542:Aneurysm, Ruptured / Q000150:complications* / Q000601:surgery; D001099:Arachnoid / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000150:complications; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery