Isolated Oculomotor Paralysis: The Product of Saccular and Fusiform Aneurysms of the Basilar Artery

Jonathan D. Trobe, Joel S. Glaser, Robert C. Quencer

Research output: Contribution to journalArticlepeer-review

28 Scopus citations

Abstract

Isolated oculomotor paralysis was produced by an unsuspected saccular basilar aneurysm in one case and fusiform basilar aneurysm in another. The chronicity of symptoms and lack of pain were misleading features. The saccular basilar aneurysm, which has an untreated mortality of 50% to 80%, was visualized best with selective angiography and successfully clipped intracranially. The fusiform basilar aneurysm, part of a diffuse atherosclerotic ectasia of all basal intracranial arteries, indented and displaced the upper brain stem. A common ophthalmologic sign of posterior communicating aneurysms, oculomotor paralysis has not been documented frequently with basilar aneurysms.

Original languageEnglish (US)
Pages (from-to)1236-1240
Number of pages5
JournalArchives of ophthalmology
Volume96
Issue number7
DOIs
StatePublished - Jul 1978

ASJC Scopus subject areas

  • Ophthalmology

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