Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review
Acute complete third nerve palsy with pupillary involvement is usually caused by a posterior communicating artery aneurysm (i.e. “the rule of the pupil”). The pupillary fibers run peripherally in the third nerve and are thus susceptible to the external compression. Headache is usually present, and u...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Brain Circulation |
| Subjects: | |
| Online Access: | http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=4;spage=188;epage=191;aulast=Pellegrini |
| _version_ | 1797955087006433280 |
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| author | Francesco Pellegrini Emanuela Interlandi Alessandra Cuna Daniela Monaco Andrew G Lee |
| author_facet | Francesco Pellegrini Emanuela Interlandi Alessandra Cuna Daniela Monaco Andrew G Lee |
| author_sort | Francesco Pellegrini |
| collection | DOAJ |
| description | Acute complete third nerve palsy with pupillary involvement is usually caused by a posterior communicating artery aneurysm (i.e. “the rule of the pupil”). The pupillary fibers run peripherally in the third nerve and are thus susceptible to the external compression. Headache is usually present, and urgent diagnosis and treatment are warranted. Rarely, however, neuroimaging shows other causes of third nerve palsy. In this study, we perform a literature review of spontaneous chronic subdural hematoma that, although rarely, may cause an acute pupil-involving third nerve palsy as a false localizing sign. We review the localizing, nonlocalizing, and false localizing nature of ocular motor cranial nerve palsy in this setting. |
| first_indexed | 2024-04-10T23:28:49Z |
| format | Article |
| id | doaj.art-bb2c7aea0eed4865ba8833ad260c2dd2 |
| institution | Directory Open Access Journal |
| issn | 2455-4626 |
| language | English |
| last_indexed | 2024-04-10T23:28:49Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Brain Circulation |
| spelling | doaj.art-bb2c7aea0eed4865ba8833ad260c2dd22023-01-12T11:17:58ZengWolters Kluwer Medknow PublicationsBrain Circulation2455-46262022-01-018418819110.4103/bc.bc_42_22Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative reviewFrancesco PellegriniEmanuela InterlandiAlessandra CunaDaniela MonacoAndrew G LeeAcute complete third nerve palsy with pupillary involvement is usually caused by a posterior communicating artery aneurysm (i.e. “the rule of the pupil”). The pupillary fibers run peripherally in the third nerve and are thus susceptible to the external compression. Headache is usually present, and urgent diagnosis and treatment are warranted. Rarely, however, neuroimaging shows other causes of third nerve palsy. In this study, we perform a literature review of spontaneous chronic subdural hematoma that, although rarely, may cause an acute pupil-involving third nerve palsy as a false localizing sign. We review the localizing, nonlocalizing, and false localizing nature of ocular motor cranial nerve palsy in this setting.http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=4;spage=188;epage=191;aulast=Pellegriniacute subdural hematomachronic subdural hematomakernoan phenomenonthird nerve palsy |
| spellingShingle | Francesco Pellegrini Emanuela Interlandi Alessandra Cuna Daniela Monaco Andrew G Lee Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review Brain Circulation acute subdural hematoma chronic subdural hematoma kernoan phenomenon third nerve palsy |
| title | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
| title_full | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
| title_fullStr | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
| title_full_unstemmed | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
| title_short | Spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy: A narrative review |
| title_sort | spontaneous chronic subdural hematoma as the cause of oculomotor cranial nerve palsy a narrative review |
| topic | acute subdural hematoma chronic subdural hematoma kernoan phenomenon third nerve palsy |
| url | http://www.braincirculation.org/article.asp?issn=2394-8108;year=2022;volume=8;issue=4;spage=188;epage=191;aulast=Pellegrini |
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