Oculomotor nerve palsy: vascular causes

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

Oculomotor nerve palsy: vascular causes. Posterior communicating artery (PCOM), Anterior communicating artery (ACOM). Fully referenced neurology checklist.

Aneurysms

  • Posterior communicating artery (PCOM)
  • Anterior communicating artery (ACOM)
  • Anterior cerebral artery (ACA)
  • Basilar artery
  • Posterior cerebral artery dissecting aneurysm

Ischaemic causes

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Haemorrhages

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Internal carotid artery pathology

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Other vascular lesions

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Cavernous sinus lesions

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Synonyms

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References

  1. Greenspan BN, Reeves AG. Transient partial oculomotor nerve paresis with posterior communicating artery aneurysm. A case report. J Clin Neuroophthalmol 1990; 10:56-58.
  2. Aiba T, Fukuda M. Unilateral oculomotor nerve paresis associated with anterior communicating artery aneurysm rupture-two case reports. Neurol Med Chir (Tokyo) 2003; 43:484-487.
  3. Satyarthee GD, Mahapatra AK. Unusual neuro-ophthalmic presentation of anterior communicating artery aneurysm with third nerve paresis. J Clin Neurosci 2004; 11:776-778.
  4. Fairbanks C, White JB. Oculomotor nerve palsy in the setting of an anterior cerebral A2 segment aneurysm. J Neurointerv Surg 2011; 3:74-76. 
  5. Fujiwara S, Fujii K, Nishio S, Matsushima T, Fukui M. Oculomotor nerve palsy in patients with cerebral aneurysms. Neurosurg Rev 1989; 12:123-132.
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