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A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines

This is a case report of a 33-year-old female with a history of migraines who presented with her typical migraine symptoms for three days. However, she also began to notice diplopia and drooping of her right eyelid, which were symptoms she had never had in the past with migraines. MR angiography sho...

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Detalles Bibliográficos
Autores principales: Danko, Colin, Williams, Dustin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332754/
https://www.ncbi.nlm.nih.gov/pubmed/37465547
http://dx.doi.org/10.21980/J8QW83
Descripción
Sumario:This is a case report of a 33-year-old female with a history of migraines who presented with her typical migraine symptoms for three days. However, she also began to notice diplopia and drooping of her right eyelid, which were symptoms she had never had in the past with migraines. MR angiography showed a 4x3x5 mm posterior communicating artery aneurysm that was likely compressing the right third cranial nerve. She was taken to the operating room by neurosurgery and underwent clip ligation of the aneurysm with improvement in symptoms. It is important to always assess for new signs and symptoms in patients presenting to the Emergency Department who are complaining of their “typical” migraine symptoms because this may indicate previously undiagnosed pathology that will require intervention to prevent negative outcomes. TOPICS: Cerebral aneurysm, cranial nerve palsy, ptosis.