Primary oculomotor nerve synkinesis caused by an extracavernous intradural aneurysm.

Abstract:

:Primary oculomotor nerve synkinesis is almost always caused by an intracavernous meningioma or aneurysm. We treated a patient who had signs of primary oculomotor nerve synkinesis from an unruptured extracavernous aneurysm located at the junction of the internal carotid artery and the posterior communicating artery. The aneurysm was successfully clipped, resulting in some improvement in ocular motility and alignment. Although most aneurysms affecting the subarachnoid portion of the oculomotor nerve cause an acute, painful oculomotor nerve paresis, such aneurysms may rarely produce painless primary oculomotor synkinesis and therefore should be considered in the differential diagnosis of this phenomenon.

journal_name

Am J Ophthalmol

authors

Varma R,Miller NR

doi

10.1016/s0002-9394(14)72846-6

subject

Has Abstract

pub_date

1994-07-15 00:00:00

pages

83-7

issue

1

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)72846-6

journal_volume

118

pub_type

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