Isolated ipsilateral abducens nerve palsy and contralateral homonymous hemianopsia associated with unruptured posterior cerebral artery aneurysm : A rare neurological finding
Cranial nerve palsies can be presenting signs of intracranial aneurysms. There is a classic pairing between an aneurysmal vessel and adjacent nerves leading to cranial neuropathy. Isolated abducens nerve palsy can be a localizing sign of an unruptured vertebrobasilar circulation aneurysm. Aneurysms involving Anterior Inferior Cerebellar Artery (AICA) and Posterior Inferior Cerebellar Artery (PICA) have been reported to be associated with abducens nerve palsy. The symptoms in unruptured aneurysms are due to the mass effect on adjacent neurovascular structures. Most of the abducens nerve palsy resolves following microsurgical clipping. Here, we present a rare case of an unruptured Posterior Cerebral Artery (PCA) aneurysm presenting with abducens nerve palsy and diplopia associated with contralateral hemianopsia which markedly improved following endovascular coil embolization.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Journal of cerebrovascular and endovascular neurosurgery - (2024) vom: 22. Jan. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mishra, Sandeep [VerfasserIn] |
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| Links: |
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| Themen: |
Abducens nerve palsy |
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| Anmerkungen: |
Date Revised 22.01.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.7461/jcen.2024.E2023.07.002 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367375303 |
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| 245 | 1 | 0 | |a Isolated ipsilateral abducens nerve palsy and contralateral homonymous hemianopsia associated with unruptured posterior cerebral artery aneurysm |b A rare neurological finding |
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| 500 | |a Date Revised 22.01.2024 | ||
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| 520 | |a Cranial nerve palsies can be presenting signs of intracranial aneurysms. There is a classic pairing between an aneurysmal vessel and adjacent nerves leading to cranial neuropathy. Isolated abducens nerve palsy can be a localizing sign of an unruptured vertebrobasilar circulation aneurysm. Aneurysms involving Anterior Inferior Cerebellar Artery (AICA) and Posterior Inferior Cerebellar Artery (PICA) have been reported to be associated with abducens nerve palsy. The symptoms in unruptured aneurysms are due to the mass effect on adjacent neurovascular structures. Most of the abducens nerve palsy resolves following microsurgical clipping. Here, we present a rare case of an unruptured Posterior Cerebral Artery (PCA) aneurysm presenting with abducens nerve palsy and diplopia associated with contralateral hemianopsia which markedly improved following endovascular coil embolization | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Abducens nerve palsy | |
| 650 | 4 | |a Homonymous hemianopsia | |
| 650 | 4 | |a Intracranial aneurysm | |
| 650 | 4 | |a Posterior cerebral artery | |
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| 700 | 1 | |a Gaikwad, Shailesh |e verfasserin |4 aut | |
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