An Unusual Complication of Hypertensive Hemorrhage – Delayed Oculomotor Palsy: Case Report and Literature Review

We present a case of oculomotor palsy due to hypertensive hemorrhage in the caudate nucleus, with intraventricular extension. To our knowledge, this is the only instance of this complication occurring due to hypertensive hemorrhage. Our patient initially developed headache at the time of her hemorrh...

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Bibliographic Details
Published inCase reports in neurology Vol. 3; no. 3; pp. 214 - 218
Main Authors Dardis, C., Sharfstein, S.
Format Journal Article
LanguageEnglish
Published Basel, Switzerland S. Karger AG 01.01.2011
Karger Publishers
Subjects
Aneurismal subarachnoid hemorrhage
Hypertensive hemorrhage
MRI
Oculomotor palsy
Published: September 2011
Oculomotor palsy
Hypertensive hemorrhage
Aneurismal subarachnoid hemorrhage
MRI
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Summary:We present a case of oculomotor palsy due to hypertensive hemorrhage in the caudate nucleus, with intraventricular extension. To our knowledge, this is the only instance of this complication occurring due to hypertensive hemorrhage. Our patient initially developed headache at the time of her hemorrhage; 8 days later, she developed complete third nerve palsy, which showed improvement at follow-up 4 months later. This was due to tracking of blood into the perimesencephalic cistern. The presence of hemorrhage in the basal cisterns was not visible on the initial CT scans and highlights the role of MRI in evaluating the brainstem for the presence of blood products.
ISSN:1662-680X
1662-680X
DOI:10.1159/000332750