| Title |
Fourth Nerve Palsy, Homonymous Hemianopia, and Hemisensory Deficit Caused by a Proximal Posterior Cerebral Artery Aneurysm |
| Creator |
Hall, JK; Jacobs, DA; Movsas, T; Galetta, SL |
| Affiliation |
Department of Neurology, University of Pennsylvania School of Medicine, Philadelphia 19104, USA. |
| Abstract |
A 21-year-old man developed an ipsilateral fourth nerve palsy, contralateral hemianopia, and contralateral hemisensory deficit as manifestations of a proximal right posterior cerebral artery aneurysm. This unusual constellation of signs reflects the involvement of the structures that run in the ambient cistern. The fourth nerve palsy and homonymous hemianopia are attributed to compression by the aneurysm. The hemisensory loss is ascribed to compromise of thalamoperforate arteries emanating from a thrombosed portion of the aneurysm. |
| Subject |
Adult; Cerebral Angiography; Embolization, Therapeutic; Hemianopsia/diagnosis/etiology/therapy; Humans; Intracranial Aneurysm/complications/radiography/therapy; Intracranial Thrombosis/complications/radiography/therapy; Magnetic Resonance Imaging; Male; Perimetry; Sensation Disorders/diagnosis/etiology/therapy; Trochlear Nerve Diseases/diagnosis/etiology/therapy; Visual Fields |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225173 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6zp7c5j/225173 |
