Painful incomplete third-nerve palsy caused by an internal carotid-communicating posterior artery aneurysm

A 38-year-old woman presented acute-onset, painful incomplete third-nerve palsy caused by an internal carotid-posterior communicating artery (IC-PC) aneurysm. We describe the differential diagnosis with Tolosa-Hunt syndrome and the results after endovascular treatment. The presence of pupil-sparing...

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Veröffentlicht in:	Archivos de la Sociedad Española de Oftalmología 2009-01, Vol.84 (1), p.43-46
Hauptverfasser:	Pérez-Flores, M I, Velasco-Casares, M, Lorenzo-Carrero, J
Format:	Artikel
Sprache:	spa
Schlagworte:	Adult Carotid Artery Diseases - complications Carotid Artery Diseases - therapy Carotid Artery, Internal - pathology Circle of Willis - pathology Diagnostic Errors Embolization, Therapeutic Female Humans Intracranial Aneurysm - complications Magnetic Resonance Imaging Mydriasis - etiology Nerve Compression Syndromes - diagnosis Nerve Compression Syndromes - etiology Oculomotor Nerve Diseases - etiology Pain - etiology Tolosa-Hunt Syndrome - diagnosis Tomography, X-Ray Computed
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Zusammenfassung:	A 38-year-old woman presented acute-onset, painful incomplete third-nerve palsy caused by an internal carotid-posterior communicating artery (IC-PC) aneurysm. We describe the differential diagnosis with Tolosa-Hunt syndrome and the results after endovascular treatment. The presence of pupil-sparing third-nerve palsy may not exclude the presence of an IC-PC aneurysm and orbital magnetic resonance imaging and/or computed tomography imaging must be performed in these cases. The prompt recovery after endovascular treatment is consistent with previous reports.
ISSN:	1989-7286