Third cranial nerve palsy related to an unruptured aneurysm of the posterior communicating artery

The posterior communicating artery (PCA) aneurysm is a traditional cause of young subjects' painful ophthalmoplegia. We report the case of a patient presenting a complete, extrinsic and intrinsic, third cranial nerve palsy related to an unruptured aneurysm of the PCA. The diagnosis was made wit...

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Bibliographic Details
Published inJournal francais d'ophtalmologie Vol. 30; no. 10; p. e31
Main Authors Beynat, J, Bidot, S, Ricolfi, F, Creuzot-Garcher, C, Bron, A
Format Journal Article
LanguageFrench
Published France 01.12.2007
Subjects
Adult
Blepharoptosis - etiology
Cerebral Angiography
Embolization, Therapeutic
Exotropia - etiology
Female
Humans
Intracranial Aneurysm - complications
Intracranial Aneurysm - diagnostic imaging
Intracranial Aneurysm - therapy
Nerve Compression Syndromes - diagnostic imaging
Nerve Compression Syndromes - etiology
Nerve Compression Syndromes - therapy
Ophthalmoplegia - diagnostic imaging
Ophthalmoplegia - etiology
Ophthalmoplegia - therapy
Tomography, X-Ray Computed
Visual Acuity
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Summary:The posterior communicating artery (PCA) aneurysm is a traditional cause of young subjects' painful ophthalmoplegia. We report the case of a patient presenting a complete, extrinsic and intrinsic, third cranial nerve palsy related to an unruptured aneurysm of the PCA. The diagnosis was made with the angio-CT, and the patient was treated with endovascular treatment for 6 days after the beginning of the cephalalgias. Recovery was complete at 8 weeks. We review the literature on the etiologies of this type of attack, the work-up, and the possible treatments.
ISSN:1773-0597
DOI:10.1016/s0181-5512(07)79282-3