Journal of Cerebrovascular and Endovascular Neurosurgery

  • 제26권3호
  • /
  • Pages.318-323
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  • 2024
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  • 2234-8565(pISSN)
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  • 2287-3139(eISSN)
대한뇌혈관외과학회 (Korean Society of Cerebravascular Surgeons)
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Isolated ipsilateral abducens nerve palsy and contralateral homonymous hemianopsia associated with unruptured posterior cerebral artery aneurysm: A rare neurological finding

  • Sandeep Mishra (Department of Neurosurgery, All India Institute of Medical Sciences) ;
  • Saurav Mishra (Department of Radiology, Postgraduate Institute of Medical Education and Research) ;
  • Sabina Regmi (Division of Neuroanesthesia, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research) ;
  • Kanwaljeet Garg (Department of Neurosurgery, All India Institute of Medical Sciences) ;
  • Shailesh Gaikwad (Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences)
  • 투고 : 2023.07.11
  • 심사 : 2023.12.21
  • 발행 : 2024.09.30
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초록

Cranial nerve palsies can be presenting signs of intracranial aneurysms. There is a classic pairing between an aneurysmal vessel and adjacent nerves leading to cranial neuropathy. Isolated abducens nerve palsy can be a localizing sign of an unruptured vertebrobasilar circulation aneurysm. Aneurysms involving Anterior Inferior Cerebellar Artery (AICA) and Posterior Inferior Cerebellar Artery (PICA) have been reported to be associated with abducens nerve palsy. The symptoms in unruptured aneurysms are due to the mass effect on adjacent neurovascular structures. Most of the abducens nerve palsy resolves following microsurgical clipping. Here, we present a rare case of an unruptured Posterior Cerebral Artery (PCA) aneurysm presenting with abducens nerve palsy and diplopia associated with contralateral hemianopsia which markedly improved following endovascular coil embolization.

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참고문헌

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