Oculomotor Nerve Palsy Associated with Duplication of Middle Cerebral Artery, Anterior Communicating Artery Aneurysm, and Parietal Meningioma

被引：2
|
作者：
Elnahry, Ayman G. [1 ]
Elnahry, Gehad A. [1 ]
机构：
[1] Cairo Univ, Fac Med, Dept Ophthalmol, Kasr Alainy St, Cairo 11956, Egypt
来源：
NEURO-OPHTHALMOLOGY | 2019年 / 43卷 / 01期
关键词：
Anterior communicating artery aneurysm; computed tomography angiography; duplicated middle cerebral artery; meningioma capillary blush; middle cerebral artery fenestration; oculomotor nerve palsy;
D O I：
10.1080/01658107.2018.1451902
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 61-year-old male presents with diplopia of acute onset and progressive course. He has a history of previous intracranial haemorrhage that was surgically evacuated 7 years ago and was also associated with diplopia. Examination revealed left complete oculomotor nerve paralysis with a fixed and dilated left pupil. Computed tomography (CT) revealed encephalomalacia, evidence of previous craniotomy, and an incidental left parietal convexity meningioma. CT angiography of the brain revealed a left tortuous duplicate middle cerebral artery with fenestration of its proximal part, an anterior communicating artery aneurysm, and a characteristic capillary blush of the meningioma. Possible mechanisms of oculomotor nerve involvement are discussed.
引用
收藏
页码：53 / 55
页数：3
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