Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm

Oculomotor nerve palsy secondary to a compressive lesion is typically presented with clinical findings like anisocoria and ptosis. Seldom does its atypical presentation mimic the features of other neurological diseases. Hence, considering the underlying cause is vital, as it may rarely be the first...

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Main Authors: Gülşah Zorgör, Hatem Hakan Selçuk, Nazan Karagöz Sakallı, Aysun Soysal
Format: Article
Language:English
Published: Galenos Yayinevi 2021-12-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:https://tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-47700&look4=
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author Gülşah Zorgör
Hatem Hakan Selçuk
Nazan Karagöz Sakallı
Aysun Soysal
author_facet Gülşah Zorgör
Hatem Hakan Selçuk
Nazan Karagöz Sakallı
Aysun Soysal
author_sort Gülşah Zorgör
collection DOAJ
description Oculomotor nerve palsy secondary to a compressive lesion is typically presented with clinical findings like anisocoria and ptosis. Seldom does its atypical presentation mimic the features of other neurological diseases. Hence, considering the underlying cause is vital, as it may rarely be the first sign of a ruptured or non-ruptured aneurysm, even if the absence of pupil involvement does not suggest such compressive causes. Herein, we reported the case of a patient who presented with fluctuating ptosis and diplopia secondary to spontaneous dissecting aneurysm of the internal carotid artery.
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spelling doaj.art-4382e2d69ea04cc4b46702f35865d7212023-02-15T16:16:19ZengGalenos YayineviTürk Nöroloji Dergisi1309-25452021-12-0127443343510.4274/tnd.2021.47700Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting AneurysmGülşah Zorgör0https://orcid.org/0000-0003-2071-5276Hatem Hakan Selçuk1https://orcid.org/0000-0001-5606-4423Nazan Karagöz Sakallı2https://orcid.org/0000-0002-7172-954XAysun Soysal3https://orcid.org/0000-0002-1598-5944University of Health Sciences Turkey, Basaksehir Cam and Sakura City Hospital, Clinic of Neurology, Istanbul, TurkeyUniversity of Health Sciences Turkey, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Clinic of Radiology, Istanbul, TurkeyUniversity of Health Sciences Turkey, Basaksehir Cam and Sakura City Hospital, Clinic of Neurology, Istanbul, TurkeyUniversity of Health Sciences Turkey, Basaksehir Cam and Sakura City Hospital, Clinic of Neurology, Istanbul, TurkeyOculomotor nerve palsy secondary to a compressive lesion is typically presented with clinical findings like anisocoria and ptosis. Seldom does its atypical presentation mimic the features of other neurological diseases. Hence, considering the underlying cause is vital, as it may rarely be the first sign of a ruptured or non-ruptured aneurysm, even if the absence of pupil involvement does not suggest such compressive causes. Herein, we reported the case of a patient who presented with fluctuating ptosis and diplopia secondary to spontaneous dissecting aneurysm of the internal carotid artery.https://tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-47700&look4=oculomotor nerve palsydissecting aneurysmcerebral aneurysminternal carotid artery
spellingShingle Gülşah Zorgör
Hatem Hakan Selçuk
Nazan Karagöz Sakallı
Aysun Soysal
Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
Türk Nöroloji Dergisi
oculomotor nerve palsy
dissecting aneurysm
cerebral aneurysm
internal carotid artery
title Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
title_full Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
title_fullStr Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
title_full_unstemmed Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
title_short Fluctuating Pupil-sparing Oculomotor Nerve Palsy with Intracranial Spontaneous Dissecting Aneurysm
title_sort fluctuating pupil sparing oculomotor nerve palsy with intracranial spontaneous dissecting aneurysm
topic oculomotor nerve palsy
dissecting aneurysm
cerebral aneurysm
internal carotid artery
url https://tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-47700&look4=
work_keys_str_mv AT gulsahzorgor fluctuatingpupilsparingoculomotornervepalsywithintracranialspontaneousdissectinganeurysm
AT hatemhakanselcuk fluctuatingpupilsparingoculomotornervepalsywithintracranialspontaneousdissectinganeurysm
AT nazankaragozsakallı fluctuatingpupilsparingoculomotornervepalsywithintracranialspontaneousdissectinganeurysm
AT aysunsoysal fluctuatingpupilsparingoculomotornervepalsywithintracranialspontaneousdissectinganeurysm