Internal Carotid Artery Occlusion Manifesting Only as Oculomotor Nerve Palsy
Oculomotor nerve palsy is very rare as the only manifestation of internal carotid artery (ICA) occlusion, and the angiographic findings have not been described in detail. We present a case of ipsilateral ICA occlusion manifesting as only sudden onset of oculomotor nerve palsy. Cerebral angiography s...
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| Veröffentlicht in: | Journal of stroke and cerebrovascular diseases 2008-11, Vol.17 (6), p.433-435 |
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| container_title | Journal of stroke and cerebrovascular diseases |
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| creator | Watanabe, Arata, MD, PhD Horikoshi, Toru, MD, PhD Uchida, Mikito, MD, PhD Kinouchi, Hiroyuki, MD, PhD |
| description | Oculomotor nerve palsy is very rare as the only manifestation of internal carotid artery (ICA) occlusion, and the angiographic findings have not been described in detail. We present a case of ipsilateral ICA occlusion manifesting as only sudden onset of oculomotor nerve palsy. Cerebral angiography showed occlusion of the ICA from the cervical portion to the ophthalmic portion. Distal blood flow was compensated through an anastomosis from other arteries. Ischemia of the oculomotor nerve was thought to be caused by loss of supply from branches arising from the occluded cavernous portion of the ICA. |
| doi_str_mv | 10.1016/j.jstrokecerebrovasdis.2008.06.001 |
| format | Article |
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We present a case of ipsilateral ICA occlusion manifesting as only sudden onset of oculomotor nerve palsy. Cerebral angiography showed occlusion of the ICA from the cervical portion to the ophthalmic portion. Distal blood flow was compensated through an anastomosis from other arteries. Ischemia of the oculomotor nerve was thought to be caused by loss of supply from branches arising from the occluded cavernous portion of the ICA.</description><identifier>ISSN: 1052-3057</identifier><identifier>EISSN: 1532-8511</identifier><identifier>DOI: 10.1016/j.jstrokecerebrovasdis.2008.06.001</identifier><identifier>PMID: 18984442</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject><![CDATA[Aged ; Antipyrine - administration & dosage ; Antipyrine - analogs & derivatives ; Cardiovascular ; Carotid Artery, Internal - anatomy & histology ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - physiopathology ; Carotid Stenosis - complications ; Carotid Stenosis - diagnostic imaging ; Carotid Stenosis - pathology ; Cavernous Sinus - anatomy & histology ; Cerebral Angiography ; Cerebrovascular Circulation - physiology ; Circle of Willis - anatomy & histology ; Circle of Willis - physiology ; Free Radical Scavengers - administration & dosage ; Humans ; Internal carotid artery ; Magnetic Resonance Imaging ; Male ; Neurology ; occlusion ; Oculomotor Nerve - blood supply ; Oculomotor Nerve - physiopathology ; Oculomotor Nerve Diseases - etiology ; Oculomotor Nerve Diseases - pathology ; Oculomotor Nerve Diseases - physiopathology ; oculomotor nerve palsy ; Positron-Emission Tomography ; Vitamin B 12 - administration & dosage]]></subject><ispartof>Journal of stroke and cerebrovascular diseases, 2008-11, Vol.17 (6), p.433-435</ispartof><rights>National Stroke Association</rights><rights>2008 National Stroke Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-8f7bbab7e2d90ec8fb95cc48fe684868e4a2a05aee5c25661f7d6ecfbb1247ef3</citedby><cites>FETCH-LOGICAL-c372t-8f7bbab7e2d90ec8fb95cc48fe684868e4a2a05aee5c25661f7d6ecfbb1247ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jstrokecerebrovasdis.2008.06.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18984442$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watanabe, Arata, MD, PhD</creatorcontrib><creatorcontrib>Horikoshi, Toru, MD, PhD</creatorcontrib><creatorcontrib>Uchida, Mikito, MD, PhD</creatorcontrib><creatorcontrib>Kinouchi, Hiroyuki, MD, PhD</creatorcontrib><title>Internal Carotid Artery Occlusion Manifesting Only as Oculomotor Nerve Palsy</title><title>Journal of stroke and cerebrovascular diseases</title><addtitle>J Stroke Cerebrovasc Dis</addtitle><description>Oculomotor nerve palsy is very rare as the only manifestation of internal carotid artery (ICA) occlusion, and the angiographic findings have not been described in detail. We present a case of ipsilateral ICA occlusion manifesting as only sudden onset of oculomotor nerve palsy. Cerebral angiography showed occlusion of the ICA from the cervical portion to the ophthalmic portion. Distal blood flow was compensated through an anastomosis from other arteries. Ischemia of the oculomotor nerve was thought to be caused by loss of supply from branches arising from the occluded cavernous portion of the ICA.</description><subject>Aged</subject><subject>Antipyrine - administration & dosage</subject><subject>Antipyrine - analogs & derivatives</subject><subject>Cardiovascular</subject><subject>Carotid Artery, Internal - anatomy & histology</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - physiopathology</subject><subject>Carotid Stenosis - complications</subject><subject>Carotid Stenosis - diagnostic imaging</subject><subject>Carotid Stenosis - pathology</subject><subject>Cavernous Sinus - anatomy & histology</subject><subject>Cerebral Angiography</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Circle of Willis - anatomy & histology</subject><subject>Circle of Willis - physiology</subject><subject>Free Radical Scavengers - administration & dosage</subject><subject>Humans</subject><subject>Internal carotid artery</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Neurology</subject><subject>occlusion</subject><subject>Oculomotor Nerve - blood supply</subject><subject>Oculomotor Nerve - physiopathology</subject><subject>Oculomotor Nerve Diseases - etiology</subject><subject>Oculomotor Nerve Diseases - pathology</subject><subject>Oculomotor Nerve Diseases - physiopathology</subject><subject>oculomotor nerve palsy</subject><subject>Positron-Emission Tomography</subject><subject>Vitamin B 12 - administration & dosage</subject><issn>1052-3057</issn><issn>1532-8511</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkUFr3DAQhUVoadKkfyH41EPBjiRbsnwppEvbBLbdQtqzkOVRkaOVUsle8L-vzC4UQi49zSB9eqN5D6EPBFcEE34zVmOaYngEDRH6GA4qDTZVFGNRYV5hTM7QBWE1LQUj5FXuMaNljVl7jt6mNGaAMMHeoHMiOtE0Db1A23s_QfTKFRsVw2SH4jbmg6XYae3mZIMvvilvDaTJ-t_FzrulUCnfzi7swxRi8R3iAYofyqXlCr02ucK7U71Ev758_rm5K7e7r_eb222p65ZOpTBt36u-BTp0GLQwfce0boQBLhrBBTSKKswUANOUcU5MO3DQpu8JbVow9SV6f9R9iuHPnL8m9zZpcE55CHOSvGsZ5rzJ4KcjqGNIKYKRT9HuVVwkwXL1VI7yJU_l6qnEXGbLssj1adrc72H4J3EyMQPbIwB554OFKJO24DUMNoKe5BDs_837-ExOO-utVu4RFkhjmNe8kiQyUYnlw5ryGjIW6-sO138BOLitOg</recordid><startdate>200811</startdate><enddate>200811</enddate><creator>Watanabe, Arata, MD, PhD</creator><creator>Horikoshi, Toru, MD, PhD</creator><creator>Uchida, Mikito, MD, PhD</creator><creator>Kinouchi, Hiroyuki, MD, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200811</creationdate><title>Internal Carotid Artery Occlusion Manifesting Only as Oculomotor Nerve Palsy</title><author>Watanabe, Arata, MD, PhD ; Horikoshi, Toru, MD, PhD ; Uchida, Mikito, MD, PhD ; Kinouchi, Hiroyuki, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-8f7bbab7e2d90ec8fb95cc48fe684868e4a2a05aee5c25661f7d6ecfbb1247ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged</topic><topic>Antipyrine - administration & dosage</topic><topic>Antipyrine - analogs & derivatives</topic><topic>Cardiovascular</topic><topic>Carotid Artery, Internal - anatomy & histology</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - physiopathology</topic><topic>Carotid Stenosis - complications</topic><topic>Carotid Stenosis - diagnostic imaging</topic><topic>Carotid Stenosis - pathology</topic><topic>Cavernous Sinus - anatomy & histology</topic><topic>Cerebral Angiography</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Circle of Willis - anatomy & histology</topic><topic>Circle of Willis - physiology</topic><topic>Free Radical Scavengers - administration & dosage</topic><topic>Humans</topic><topic>Internal carotid artery</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Neurology</topic><topic>occlusion</topic><topic>Oculomotor Nerve - blood supply</topic><topic>Oculomotor Nerve - physiopathology</topic><topic>Oculomotor Nerve Diseases - etiology</topic><topic>Oculomotor Nerve Diseases - pathology</topic><topic>Oculomotor Nerve Diseases - physiopathology</topic><topic>oculomotor nerve palsy</topic><topic>Positron-Emission Tomography</topic><topic>Vitamin B 12 - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watanabe, Arata, MD, PhD</creatorcontrib><creatorcontrib>Horikoshi, Toru, MD, PhD</creatorcontrib><creatorcontrib>Uchida, Mikito, MD, PhD</creatorcontrib><creatorcontrib>Kinouchi, Hiroyuki, MD, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of stroke and cerebrovascular diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watanabe, Arata, MD, PhD</au><au>Horikoshi, Toru, MD, PhD</au><au>Uchida, Mikito, MD, PhD</au><au>Kinouchi, Hiroyuki, MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internal Carotid Artery Occlusion Manifesting Only as Oculomotor Nerve Palsy</atitle><jtitle>Journal of stroke and cerebrovascular diseases</jtitle><addtitle>J Stroke Cerebrovasc Dis</addtitle><date>2008-11</date><risdate>2008</risdate><volume>17</volume><issue>6</issue><spage>433</spage><epage>435</epage><pages>433-435</pages><issn>1052-3057</issn><eissn>1532-8511</eissn><abstract>Oculomotor nerve palsy is very rare as the only manifestation of internal carotid artery (ICA) occlusion, and the angiographic findings have not been described in detail. We present a case of ipsilateral ICA occlusion manifesting as only sudden onset of oculomotor nerve palsy. Cerebral angiography showed occlusion of the ICA from the cervical portion to the ophthalmic portion. Distal blood flow was compensated through an anastomosis from other arteries. Ischemia of the oculomotor nerve was thought to be caused by loss of supply from branches arising from the occluded cavernous portion of the ICA.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>18984442</pmid><doi>10.1016/j.jstrokecerebrovasdis.2008.06.001</doi><tpages>3</tpages></addata></record> |
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| subjects | Aged Antipyrine - administration & dosage Antipyrine - analogs & derivatives Cardiovascular Carotid Artery, Internal - anatomy & histology Carotid Artery, Internal - diagnostic imaging Carotid Artery, Internal - physiopathology Carotid Stenosis - complications Carotid Stenosis - diagnostic imaging Carotid Stenosis - pathology Cavernous Sinus - anatomy & histology Cerebral Angiography Cerebrovascular Circulation - physiology Circle of Willis - anatomy & histology Circle of Willis - physiology Free Radical Scavengers - administration & dosage Humans Internal carotid artery Magnetic Resonance Imaging Male Neurology occlusion Oculomotor Nerve - blood supply Oculomotor Nerve - physiopathology Oculomotor Nerve Diseases - etiology Oculomotor Nerve Diseases - pathology Oculomotor Nerve Diseases - physiopathology oculomotor nerve palsy Positron-Emission Tomography Vitamin B 12 - administration & dosage |
| title | Internal Carotid Artery Occlusion Manifesting Only as Oculomotor Nerve Palsy |
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