Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report

BACKGROUND: Posterior cerebral artery aneurysms can frequently present with an ipsilateral cranial nerve III palsy. CASE DESCRIPTION: We report the first case of a posterior cerebral artery aneurysm associated with a contralateral cranial nerve III palsy. A 64-year-old male presented with acute suba...

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Detalles Bibliográficos
Autores principales: Chaudhry, Nauman S., Brunozzi, Denise, Shakur, Sophia F., Charbel, Fady T., Alaraj, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
Materias:
Neurovascular: Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858053/
https://www.ncbi.nlm.nih.gov/pubmed/29576903
http://dx.doi.org/10.4103/sni.sni_430_17
Descripción
Sumario:BACKGROUND: Posterior cerebral artery aneurysms can frequently present with an ipsilateral cranial nerve III palsy. CASE DESCRIPTION: We report the first case of a posterior cerebral artery aneurysm associated with a contralateral cranial nerve III palsy. A 64-year-old male presented with acute subarachnoid hemorrhage, Hunt and Hess grade 3, and a left-sided fixed and dilated pupil. Computed tomography scan showed hemorrhage, mainly within the left basal cisterns. Digital subtraction angiography revealed a right-sided P1–P2 junction aneurysm. CONCLUSIONS: This case demonstrates that, although the neurological exam can help pinpoint the location of a lesion, false localizing signs should be recognized.

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