Acute subdural hematoma caused by a ruptured cavernous internal carotid artery giant aneurysm following abducens nerve palsy: case report and review of the literature

2015 ◽  
Vol 157 (7) ◽  
pp. 1113-1116
Author(s):  
Hideaki Shigematsu ◽  
Takatoshi Sorimachi ◽  
Rie Aoki ◽  
Takahiro Osada ◽  
Kittipong Srivatanakul ◽  
...  
2020 ◽  
Vol 4 (3) ◽  
pp. 362-365
Author(s):  
Austin Brown ◽  
Health Jolliff ◽  
Douglas Poe ◽  
Michael Weinstock

Introduction: Diplopia is an uncommon emergency department (ED) complaint representing only 0.1% of visits, but it has a large differential. One cause is a cranial nerve palsy, which may be from a benign or life-threatening process. Case Report: A 69-year-old female presented to the ED with two days of diplopia and dizziness. The physical exam revealed a sixth cranial nerve palsy isolated to the left eye. Imaging demonstrated an intracavernous internal carotid artery aneurysm. The patient was treated with embolization by neurointerventional radiology. Discussion: The evaluation of diplopia is initially divided into monocular, usually from a lens problem, or binocular, indicating an extraocular process. Microangiopathic disease is the most common cause of sixth nerve palsy; however, more serious etiologies may be present, such as an intracavernous internal carotid artery aneurysm, as in the patient described. Imaging modalities may include computed tomography or magnetic resonance imaging. Conclusion: Some causes of sixth nerve palsy are benign, while others will require more urgent attention, such as consideration of an intracavernous internal carotid artery aneurysm.


2005 ◽  
Vol 105 (4) ◽  
pp. 407-409 ◽  
Author(s):  
U. Alpagut ◽  
M. Ugurlucan ◽  
E. Kafali ◽  
O. Ali Sayin ◽  
T. Demir ◽  
...  

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