Oculomotor nerve palsy: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Oculomotor nerve palsy: management. Computed tomography angiography (CTA), Magnetic resonance angiography (MRA). Fully referenced neurology checklist.

Investigations

  • Computed tomography angiography (CTA)
  • Magnetic resonance angiography (MRA)
  • Digital subtraction angiography (DSA)

Medical treatment

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Surgical treatment

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Synonyms

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References

  1. Vaphiades MS, Cure J, Kline L. Management of intracranial aneurysm causing a third cranial nerve palsy: MRA, CTA or DSA? Semin Ophthalmol 2008; 23:143-150. 
  2. Lee AG, Hayman LA, Brazis PW. The evaluation of isolated third nerve palsy revisited: an update on the evolving role of magnetic resonance, computed tomography, and catheter angiography. Surv Ophthalmol 2002; 47:137-157. 
  3. Singh A, Bahuguna C, Nagpal R, Kumar B. Surgical management of third nerve palsy. Oman J Ophthalmol 2016; 9:80-86.
  4. Zheng F, Dong Y, Xia P, et al. Is clipping better than coiling in the treatment of patients with oculomotor nerve palsies induced by posterior communicating artery aneurysms? A systematic review and meta-analysis. Clin Neurol Neurosurg 2017; 153:20-26. 
  5. Gaberel T, Borha A, di Palma C, Emery E. Clipping versus coiling in the management of posterior communicating artery aneurysms with third nerve palsy: a systematic review and meta-analysis. World Neurosurg 2016 Mar;87:498-506.e4.
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