Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report.

Related Articles

Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report.

Surg Neurol Int. 2018;9:52

Authors: Chaudhry NS, Brunozzi D, Shakur SF, Charbel FT, Alaraj A

Abstract
Background: Posterior cerebral artery aneurysms can frequently present with an ipsilateral cranial nerve III palsy.
Case Description: We report the first case of a posterior cerebral artery aneurysm associated with a contralateral cranial nerve III palsy. A 64-year-old male presented with acute subarachnoid hemorrhage, Hunt and Hess grade 3, and a left-sided fixed and dilated pupil. Computed tomography scan showed hemorrhage, mainly within the left basal cisterns. Digital subtraction angiography revealed a right-sided P1-P2 junction aneurysm.
Conclusions: This case demonstrates that, although the neurological exam can help pinpoint the location of a lesion, false localizing signs should be recognized.

PMID: 29576903 [PubMed]

https://ift.tt/2DYEuDC