Complete Oculomotor Nerve Palsy Caused by Direct Compression of the Posterior Cerebral Artery.
Oculomotor nerve palsy frequently occurs because of external compression by an internal carotid-posterior communicating artery aneurysm and diabetes mellitus. In addition, pontine infarction, cavernous sinus tumors, demyelinating disease, and autoimmune disorder are well-known causes of oculomotor nerve palsy. However, cases of complete oculomotor nerve palsy by neurovascular conflicts presented with a sudden onset of clinical symptoms are extremely rare. We experienced a rare case of complete oculomotor nerve palsy because of direct vascular compression of the oculomotor nerve by the posterior cerebral artery.
Department of Neurology, Konkuk University School of Medicine, Chungju, Korea.
Yoon-Sik
YS
Jo
Department of Rehabilitation Medicine, Konkuk University School of Medicine, Chungju, Korea.
Shin Kyoung
SK
Kim
Department of Radiology, Konyang University College of Medicine, Daejeon, Korea.
Dae Ho
DH
Kim
Department of Neurology, Konyang University College of Medicine, Daejeon, Korea.
Jae-Hwan
JH
Kim
Department of Neurology, Konyang University College of Medicine, Daejeon, Korea. Electronic address: nukedoc@hanmail.net.
Sang-Jun
SJ
Na
D020785:Central Nervous System Vascular Malformations / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D002560:Cerebrovascular Circulation; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology*; D020769:Posterior Cerebral Artery / Q000002:abnormalities* / Q000503:physiopathology; D011673:Pulsatile Flow; D013314:Stress, Mechanical
Oculomotor nerve; diplopia; intracranial aneurysm; magnetic resonance imaging; ophthalmoplegia; posterior cerebral artery