COMPLETE ISOLATED THIRD NERVE PARESIS ASSOSICATED WITH FUSIFORM DILATATION OF MIDDLE CEREBRAL ARTERY

-
Anahtar Kelimeler:

-

COMPLETE ISOLATED THIRD NERVE PARESIS ASSOSICATED WITH FUSIFORM DILATATION OF MIDDLE CEREBRAL ARTERY

A 28 year-old-male sufferred left third nerve paresis. A pattern of complete and isolated paresis was observed. Neuroimaginings and conventional cerebral angiography revealed abnormally enlarged middle cerebral artery. Because of its fusiform nature, the abnormality was left untreated surgically. The third nerve palsy began to resolve within a week from onset after prednisolone administration. The present case was interesting because of resulting from fusiform dilatation of middle cerebral artery which was the only finding related to the third nevre palsy and early recovering of pupil

___

  • Biousse V, Newman NJ: Third nerve palsies. Semin Neurol 2000;20:55-74
  • Capo H, Warren F, Kupersmith MJ.Evolution of oculomotor nerve palsies. J Clin Neuroophthalmol 1992;12:21-5
  • Fujiwara S, Fujii K, Nishio S, Matsushima T, Fukui M: Oculomotor nerve palsy in patients with cerebral aneurysms. Neurosurg Rev 1989;12:123-32
  • Laun A, Tonn JC: Cranial nerve lesions following subarachnoid hemorrhage and aneurysm of the circle of Willis. Neurosurg Rev 1988;11:137-41
  • Lee AG, Onan HW, Brazis PW, Prager TC.An imaging guide to the evaluation of third cranial nerve palsies. Strabismus 1999;7: 153-68
  • Murtagh F, Stauffer HM, Harley RD. A case of persistent carotid-basilar anastomosis associated with aneurysm of the homolateral middle cerebral artery manifested by oculomotor palsy. J Neurosurg 1955;12:46-9
  • Richards BW, Jones FR, Younge BR: Causes and prognosis in 4,278 cases of paralysis of the oculomotor, trochlear, and abducens cranial nerves. Am J Ophthalmol 1992;113: 489-96 117