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Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review
Acute complete third nerve palsy with pupillary involvement is usually caused by a posterior communicating artery aneurysm (i.e. “the rule of the pupil”). The pupillary fibers run peripherally in the third nerve and are thus susceptible to the external compression. Headache is usually present, and u...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167844/ https://www.ncbi.nlm.nih.gov/pubmed/37181846 http://dx.doi.org/10.4103/bc.bc_42_22 |
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author | Pellegrini, Francesco Interlandi, Emanuela Cuna, Alessandra Monaco, Daniela Lee, Andrew G. |
author_facet | Pellegrini, Francesco Interlandi, Emanuela Cuna, Alessandra Monaco, Daniela Lee, Andrew G. |
author_sort | Pellegrini, Francesco |
collection | PubMed |
description | Acute complete third nerve palsy with pupillary involvement is usually caused by a posterior communicating artery aneurysm (i.e. “the rule of the pupil”). The pupillary fibers run peripherally in the third nerve and are thus susceptible to the external compression. Headache is usually present, and urgent diagnosis and treatment are warranted. Rarely, however, neuroimaging shows other causes of third nerve palsy. In this study, we perform a literature review of spontaneous chronic subdural hematoma that, although rarely, may cause an acute pupil-involving third nerve palsy as a false localizing sign. We review the localizing, nonlocalizing, and false localizing nature of ocular motor cranial nerve palsy in this setting. |
format | Online Article Text |
id | pubmed-10167844 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-101678442023-05-10 Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review Pellegrini, Francesco Interlandi, Emanuela Cuna, Alessandra Monaco, Daniela Lee, Andrew G. Brain Circ Review Article Acute complete third nerve palsy with pupillary involvement is usually caused by a posterior communicating artery aneurysm (i.e. “the rule of the pupil”). The pupillary fibers run peripherally in the third nerve and are thus susceptible to the external compression. Headache is usually present, and urgent diagnosis and treatment are warranted. Rarely, however, neuroimaging shows other causes of third nerve palsy. In this study, we perform a literature review of spontaneous chronic subdural hematoma that, although rarely, may cause an acute pupil-involving third nerve palsy as a false localizing sign. We review the localizing, nonlocalizing, and false localizing nature of ocular motor cranial nerve palsy in this setting. Wolters Kluwer - Medknow 2022-12-06 /pmc/articles/PMC10167844/ /pubmed/37181846 http://dx.doi.org/10.4103/bc.bc_42_22 Text en Copyright: © 2022 Brain Circulation https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Review Article Pellegrini, Francesco Interlandi, Emanuela Cuna, Alessandra Monaco, Daniela Lee, Andrew G. Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
title | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
title_full | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
title_fullStr | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
title_full_unstemmed | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
title_short | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
title_sort | spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: a narrative review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10167844/ https://www.ncbi.nlm.nih.gov/pubmed/37181846 http://dx.doi.org/10.4103/bc.bc_42_22 |
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