scholarly journals A case of posterior communicating artery aneurysm presenting as cranial nerve 3 palsy in a young female patient with migraines

Author(s):  
Colin Danko ◽  
Dustin Williams
Neurosurgery ◽  
2011 ◽  
Vol 69 (2) ◽  
pp. E470-E474 ◽  
Author(s):  
Stacey Quintero Wolfe ◽  
Glen Manzano ◽  
David J. Langer ◽  
Jacques J. Morcos

Abstract BACKGROUND AND IMPORTANCE: Cavernous malformations of the cranial nerves are exceedingly rare. The classic radiographic appearance of cavernous malformations may not be obvious when located in a cranial nerve. CLINICAL PRESENTATION: We present 2 cases of acute oculomotor paresis caused by cavernous malformations of the oculomotor nerve that were mistaken for a thrombosed posterior communicating artery aneurysm on magnetic resonance imaging, magnetic resonance angiography, and digital subtraction angiography. Both patients underwent a craniotomy with exploration of the lesion. Both cavernous malformations were completely resected while the integrity of the third cranial nerve was maintained. One patient experienced complete resolution of the oculomotor palsy. CONCLUSION: Although rare, cavernous malformations should be included in the differential diagnosis of a partially thrombosed posterior communicating artery aneurysm. Exploration and complete lesional resection are possible with improvement of the cranial nerve function.


2004 ◽  
Vol 101 (2) ◽  
pp. 352-353 ◽  
Author(s):  
Robert R. Kraus ◽  
Jorge Kattah ◽  
Carlo Bortolotti ◽  
Giuseppe Lanzino

✓ The authors describe a patient with an unruptured posterior communicating artery aneurysm presenting with enhancement of the third cranial nerve on magnetic resonance (MR) imaging and cerebrospinal fluid (CSF) pleocytosis. Pathological entities associated with enhancement of the third cranial nerve on MR imaging are discussed and the authors speculate about the possible explanation for the CSF pleocytosis.


2021 ◽  
Author(s):  
Alexandrina S. Nikova ◽  
Georgios S Sioutas ◽  
Katerina Sfyrlida ◽  
Grigorios Tripsianis ◽  
Michael Karanikas ◽  
...  

2020 ◽  
Vol 19 (6) ◽  
pp. E597-E598
Author(s):  
Maureen A Darwal ◽  
Zakaria Hakma ◽  
Mandy J Binning ◽  
Adam Arthur ◽  
Bain Mark ◽  
...  

Abstract Since the International Subarachnoid Aneurysm Trial,1 endovascular treatment has been the favored treatment for appropriate ruptured intracranial aneurysms. While our endovascular technology has advanced to allow us to treat the majority of intracranial aneurysms, simple coil embolization is still the most common modality. This video demonstrates the fundamentals of aneurysm catheterization and coiling for safe treatment. In addition, the set-up and devices are detailed. This video is to add to the library of basic techniques that will aid a large number of practitioners. This patient consented to endovascular treatment. The video demonstrates endovascular coil embolization of a posterior communicating artery aneurysm in a 76-yr-old female who presented with a subarachnoid hemorrhage. Image of biplane suite in video used courtesy of Siemens Medical Solutions USA, Inc. Illustration at 5:12 reprinted from Yasargil MG, et al, Microneurosurgery IV B, p. 9, Thieme, New York, 1995.


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