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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2021
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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 |
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author | Danko, Colin Williams, Dustin |
author_facet | Danko, Colin Williams, Dustin |
author_sort | Danko, Colin |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10332754 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-103327542023-07-18 A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines Danko, Colin Williams, Dustin J Educ Teach Emerg Med Visual EM 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. Department of Emergency Medicine, University of California, Irvine School of Medicine 2021-01-15 /pmc/articles/PMC10332754/ /pubmed/37465547 http://dx.doi.org/10.21980/J8QW83 Text en © 2021 Danko, et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Visual EM Danko, Colin Williams, Dustin A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines |
title | A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines |
title_full | A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines |
title_fullStr | A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines |
title_full_unstemmed | A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines |
title_short | A Case Report of Posterior Communicating Artery Aneurysm Presenting as Cranial Nerve 3 Palsy in a Young Female Patient with Migraines |
title_sort | case report of posterior communicating artery aneurysm presenting as cranial nerve 3 palsy in a young female patient with migraines |
topic | Visual EM |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332754/ https://www.ncbi.nlm.nih.gov/pubmed/37465547 http://dx.doi.org/10.21980/J8QW83 |
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