Case report: isolated trochlear nerve palsy associated with posterior cerebral artery aneurysm.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 36864353.
- Also identified by DOI 10.1007/s00701-023-05530-9.
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Abstract
We describe a case of isolated trochlear nerve palsy caused by an unruptured posterior cerebral artery (PCA) aneurysm in an 82-year-old male who consulted an ophthalmologist after developing diplopia. Magnetic resonance angiography showed a left PCA aneurysm in the ambient cistern, and T2WI showed an aneurysm compressing the left trochlear nerve to the cerebellar tentorium. Digital subtraction angiography revealed that the lesion was located between the left P2a segment. We attributed this isolated trochlear palsy to left PCA unruptured aneurysm pressure. Thus, we performed stent-assisted coil embolization. The aneurysm was obliterated, and trochlear nerve palsy improved completely.
Medical subject headings
- Intracranial Aneurysm
- Trochlear Nerve Diseases
- Embolization, Therapeutic