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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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
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author Chaudhry, Nauman S.
Brunozzi, Denise
Shakur, Sophia F.
Charbel, Fady T.
Alaraj, Ali
author_facet Chaudhry, Nauman S.
Brunozzi, Denise
Shakur, Sophia F.
Charbel, Fady T.
Alaraj, Ali
author_sort Chaudhry, Nauman S.
collection PubMed
description 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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spelling pubmed-58580532018-03-23 Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report Chaudhry, Nauman S. Brunozzi, Denise Shakur, Sophia F. Charbel, Fady T. Alaraj, Ali Surg Neurol Int Neurovascular: 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 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. Medknow Publications & Media Pvt Ltd 2018-03-01 /pmc/articles/PMC5858053/ /pubmed/29576903 http://dx.doi.org/10.4103/sni.sni_430_17 Text en Copyright: © 2018 Surgical Neurology International http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Neurovascular: Case Report
Chaudhry, Nauman S.
Brunozzi, Denise
Shakur, Sophia F.
Charbel, Fady T.
Alaraj, Ali
Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report
title Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report
title_full Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report
title_fullStr Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report
title_full_unstemmed Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report
title_short Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report
title_sort ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve iii palsy: a case report
topic Neurovascular: Case Report
url 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
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