Pupil-involving third-nerve palsy and carotid stenosis: rapid recovery following endarterectomy.
case_report · Level V
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Abstract
We report a patient who presented with a painful pupil-involving third-nerve palsy. Cerebral angiography revealed a high-grade stenosis of the ipsilateral internal carotid artery with a 4-cm intraluminal thrombus. Following emergent carotid endarterectomy, the patient's partial third-nerve palsy resolved in 1 hour. A pupil-involving third-nerve palsy may be an unusual presentation of impending carotid occlusion.
Medical subject headings
- Carotid Stenosis
- Oculomotor Nerve Diseases