Intracavernous carotid aneurysm — An unusual cause of isolated abducens nerve palsy

We discuss the case of a 59-year-old woman who presented to the emergency department with complaints of diplopia for five days. Physical examination disclosed an isolated complete right abducens nerve palsy. Angiography revealed a giant aneurysm from the postcavernous portion of the right internal c...

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Veröffentlicht in:	Annals of emergency medicine 1990-09, Vol.19 (9), p.1063-1065
Hauptverfasser:	O'Dell, Kevin B, Gordon, Ronald S
Format:	Artikel
Sprache:	eng
Schlagworte:	Abducens Nerve - diagnostic imaging abducens nerve palsy Aneurysm - complications Aneurysm - diagnostic imaging aneurysm, carotid Biological and medical sciences Carotid Artery Diseases - complications Carotid Artery Diseases - diagnostic imaging Carotid Artery, Internal - diagnostic imaging Cranial Nerve Diseases - diagnostic imaging Cranial Nerve Diseases - etiology Diplopia - etiology Female Humans Medical sciences Middle Aged Neurology Paralysis - diagnostic imaging Paralysis - etiology Tomography, X-Ray Computed Vascular diseases and vascular malformations of the nervous system
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Beschreibung
Zusammenfassung:	We discuss the case of a 59-year-old woman who presented to the emergency department with complaints of diplopia for five days. Physical examination disclosed an isolated complete right abducens nerve palsy. Angiography revealed a giant aneurysm from the postcavernous portion of the right internal carotid artery. This case illustrates an unusual etiology of a unilateral abducens nerve palsy.
ISSN:	0196-0644 1097-6760
DOI:	10.1016/S0196-0644(05)82574-0