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학술저널
저자정보
Mishra, Sandeep (Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India) Mishra, Saurav (Department of Radiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India) Regmi, Sabina (Division of Neuroanesthesia, Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India) Garg, Kanwaljeet (Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India) Gaikwad, Shailesh (Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India)
저널정보
대한뇌혈관외과학회 Journal of Cerebrovascular and Endovascular Neurosurgery Journal of Cerebrovascular and Endovascular Neurosurgery Vol.26 No.3
발행연도
2024.9
수록면
318 - 323 (6page)
DOI
10.7461/jcen.2024.E2023.07.002

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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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