[Third cranial nerve palsy related to an unruptured aneurysm of the posterior communicating artery].
The posterior communicating artery (PCA) aneurysm is a traditional cause of young subjects' painful ophthalmoplegia. We report the case of a patient presenting a complete, extrinsic and intrinsic, third cranial nerve palsy related to an unruptured aneurysm of the PCA. The diagnosis was made with the angio-CT, and the patient was treated with endovascular treatment for 6 days after the beginning of the cephalalgias. Recovery was complete at 8 weeks. We review the literature on the etiologies of this type of attack, the work-up, and the possible treatments.
Beynat
J
J
Service d'Ophtalmologie, CHU, Dijon. jbeynat@free.fr
Bidot
S
S
Ricolfi
F
F
Creuzot-Garcher
C
C
Bron
A
A
D000328:Adult; D001763:Blepharoptosis / Q000209:etiology; D002533:Cerebral Angiography; D004621:Embolization, Therapeutic; D005099:Exotropia / Q000209:etiology; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D009886:Ophthalmoplegia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014792:Visual Acuity