Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature
Abstract Lower limb weakness is usually a feature of ruptured anterior communicating (ACom) aneurysms due to spasm of the anterior cerebral arteries. Paraclinoid aneurysms, in addition to other cardinal features of subarachnoid haemorrhage (SAH), usually present with headache and visual field defect...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2019-09-01
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| Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s41983-019-0116-5 |
| _version_ | 1819081241739132928 |
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| author | Amey P. Patankar Maulik Vaja |
| author_facet | Amey P. Patankar Maulik Vaja |
| author_sort | Amey P. Patankar |
| collection | DOAJ |
| description | Abstract Lower limb weakness is usually a feature of ruptured anterior communicating (ACom) aneurysms due to spasm of the anterior cerebral arteries. Paraclinoid aneurysms, in addition to other cardinal features of subarachnoid haemorrhage (SAH), usually present with headache and visual field defects due to compression of the optic pathway. We report a case of left paraclinoid aneurysm presenting with right lower limb weakness and gyrus rectus hematoma without SAH. The aneurysm was long, passing beneath the optic nerve to emerge in the inter-optic cistern, leading to such atypical presentation. The aneurysm was clipped successfully after drilling the clinoid. As per our knowledge, such a clinical presentation of paraclinoid aneurysm has not been reported in the literature till date. |
| first_indexed | 2024-12-21T19:57:39Z |
| format | Article |
| id | doaj.art-0a95ea80c0ec450db5f8cababb14e182 |
| institution | Directory Open Access Journal |
| issn | 1687-8329 |
| language | English |
| last_indexed | 2024-12-21T19:57:39Z |
| publishDate | 2019-09-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
| spelling | doaj.art-0a95ea80c0ec450db5f8cababb14e1822022-12-21T18:52:03ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292019-09-015511510.1186/s41983-019-0116-5Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literatureAmey P. Patankar0Maulik Vaja1Department of Neurosurgery, Baroda Medical College and SSG HospitalSterling HospitalAbstract Lower limb weakness is usually a feature of ruptured anterior communicating (ACom) aneurysms due to spasm of the anterior cerebral arteries. Paraclinoid aneurysms, in addition to other cardinal features of subarachnoid haemorrhage (SAH), usually present with headache and visual field defects due to compression of the optic pathway. We report a case of left paraclinoid aneurysm presenting with right lower limb weakness and gyrus rectus hematoma without SAH. The aneurysm was long, passing beneath the optic nerve to emerge in the inter-optic cistern, leading to such atypical presentation. The aneurysm was clipped successfully after drilling the clinoid. As per our knowledge, such a clinical presentation of paraclinoid aneurysm has not been reported in the literature till date.http://link.springer.com/article/10.1186/s41983-019-0116-5AneurysmSubarachnoid haemorrhageGyrus rectus hematoma |
| spellingShingle | Amey P. Patankar Maulik Vaja Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Aneurysm Subarachnoid haemorrhage Gyrus rectus hematoma |
| title | Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature |
| title_full | Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature |
| title_fullStr | Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature |
| title_full_unstemmed | Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature |
| title_short | Lower limb weakness with gyrus rectus hematoma: an unusual presentation of paraclinoid aneurysm; a case report with review of literature |
| title_sort | lower limb weakness with gyrus rectus hematoma an unusual presentation of paraclinoid aneurysm a case report with review of literature |
| topic | Aneurysm Subarachnoid haemorrhage Gyrus rectus hematoma |
| url | http://link.springer.com/article/10.1186/s41983-019-0116-5 |
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