Isolated Cranial Nerve-III Palsy Secondary to Perimesencephalic Subarachnoid Hemorrhage.
Publication/Presentation Date
1-1-2016
Abstract
We describe isolated cranial nerve-III palsy as a rare clinical finding in a patient with perimesencephalic subarachnoid hemorrhage. In this unusual case, the patient presented with complete cranial nerve-III palsy including ptosis and pupillary involvement. Initial studies revealed subarachnoid hemorrhage in the perimesencephalic, prepontine, and interpeduncular cisterns. Angiographic studies were negative for an intracranial aneurysm. The patient's neurological deficits improved with no residual deficits on follow-up several months after initial presentation. Our case report supports the notion that patients with perimesencephalic subarachnoid hemorrhage have an excellent prognosis. Our report further adds a case of isolated cranial nerve-III palsy as a rare initial presentation of this type of bleeding, adding to the limited body of the literature.
Volume
2016
First Page
6319548
Last Page
6319548
ISSN
2090-6668
Published In/Presented At
Abbatemarco, J. R., & Yacoub, H. A. (2016). Isolated Cranial Nerve-III Palsy Secondary to Perimesencephalic Subarachnoid Hemorrhage. Case reports in neurological medicine, 2016, 6319548. https://doi.org/10.1155/2016/6319548
Disciplines
Medicine and Health Sciences
PubMedID
26949557
Department(s)
Department of Medicine
Document Type
Article