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Unilateral mydriasis without ophthalmoplegia--a sign of neurovascular compression? Case report.
Neurosurgery. 2006 Mar; 58(3):E582-3; discussion E582-3.N

Abstract

OBJECTIVE

We aimed to demonstrate the use of neuroimaging studies in vascular compression of the oculomotor nerve.

CLINICAL PRESENTATION

A 24-year-old woman was noted by her dentist to have anisocoria, with the left pupil being larger than the right. After detailed ophthalmologic and neurological examination, we proceeded to perform neuroimaging. T2-weighted images (2 mm) and constructive interference in steady-state (0.3 mm) images were utilized.

INTERVENTION

Magnetic resonance imaging showed that duplicated left superior cerebellar artery, a prominent posterior communicating artery, and a posterior cerebral artery combined to compress the superomedial portion of the left oculomotor nerve.

CONCLUSION

With continued improvements in neuroimaging, we think that more cases of isolated cranial neuropathies previously labeled as "idiopathic" will be shown to result from vascular compression.

Authors+Show Affiliations

Division of Neuroradiology, Department of Radiology, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey. salbayram@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16528152

Citation

Albayram, Sait, et al. "Unilateral Mydriasis Without Ophthalmoplegia--a Sign of Neurovascular Compression? Case Report." Neurosurgery, vol. 58, no. 3, 2006, pp. E582-3; discussion E582-3.
Albayram S, Ozer H, Sarici A, et al. Unilateral mydriasis without ophthalmoplegia--a sign of neurovascular compression? Case report. Neurosurgery. 2006;58(3):E582-3; discussion E582-3.
Albayram, S., Ozer, H., Sarici, A., Murphy, K., & Miller, N. (2006). Unilateral mydriasis without ophthalmoplegia--a sign of neurovascular compression? Case report. Neurosurgery, 58(3), E582-3; discussion E582-3.
Albayram S, et al. Unilateral Mydriasis Without Ophthalmoplegia--a Sign of Neurovascular Compression? Case Report. Neurosurgery. 2006;58(3):E582-3; discussion E582-3. PubMed PMID: 16528152.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Unilateral mydriasis without ophthalmoplegia--a sign of neurovascular compression? Case report. AU - Albayram,Sait, AU - Ozer,Harun, AU - Sarici,Ahmet, AU - Murphy,Kieran, AU - Miller,Neil, PY - 2006/3/11/pubmed PY - 2006/8/19/medline PY - 2006/3/11/entrez SP - E582-3; discussion E582-3 JF - Neurosurgery JO - Neurosurgery VL - 58 IS - 3 N2 - OBJECTIVE: We aimed to demonstrate the use of neuroimaging studies in vascular compression of the oculomotor nerve. CLINICAL PRESENTATION: A 24-year-old woman was noted by her dentist to have anisocoria, with the left pupil being larger than the right. After detailed ophthalmologic and neurological examination, we proceeded to perform neuroimaging. T2-weighted images (2 mm) and constructive interference in steady-state (0.3 mm) images were utilized. INTERVENTION: Magnetic resonance imaging showed that duplicated left superior cerebellar artery, a prominent posterior communicating artery, and a posterior cerebral artery combined to compress the superomedial portion of the left oculomotor nerve. CONCLUSION: With continued improvements in neuroimaging, we think that more cases of isolated cranial neuropathies previously labeled as "idiopathic" will be shown to result from vascular compression. SN - 1524-4040 UR - https://www.unboundmedicine.com/medline/citation/16528152/Unilateral_mydriasis_without_ophthalmoplegia__a_sign_of_neurovascular_compression_Case_report_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1227/01.neu.0000199160.93257.49 DB - PRIME DP - Unbound Medicine ER -