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Primary Aberrant Oculomotor Regeneration due to Intracranial Aneurysm

Primary Aberrant Oculomotor Regeneration due to Intracranial Aneurysm Abstract • Two elderly patients had unilateral ophthalmoparesis and retrobulbar pain. Both had subtle lid signs of aberrant regeneration of the third nerve without preceding acute oculomotor paralysis, and both were found to have intracranial aneurysms. Although primary aberrant oculomotor regeneration has been reported previously in patients with aneurysms and meningiomas, the diagnostic importance of this sign in the elderly has not been emphasized. The presence of lid elevation on downgaze associated with slowly progressive ophthalmoplegia in patients aged 65 or older suggests aneurysm in or near the cavernous sinus. References 1. Schatz NJ, Savino PJ, Corbett JJ: Primary aberrant oculomotor regeneration: A sign of intracavernous meningioma . Arch Neurol 34:29-32, 1977.Crossref 2. Trobe JT, Glaser JS, Post JD: Meningiomas and aneurysms of the cavernous sinus . Arch Ophthalmol 96:457-467, 1978.Crossref 3. Levin PM: Intracranial aneurysms . Arch Neurol Psychiatry 67:771-786, 1952.Crossref 4. Glaser JS: Infranuclear disorders of eye movements , in Duane TD (ed): Clinical Ophthalmology . New York, Harper & Row Publishers, 1976, vol 2, chap 12, p 13. 5. Forster RK, Schatz NJ, Smith JL: A subtle eyelid sign in aberrant regeneration of the third nerve . Am J Ophthalmol 67:696-698, 1969. 6. Walsh FB: Third nerve regeneration . Br J Ophthalmol 41:577-598, 1957.Crossref 7. Sunderland S: Nerves and Nerve Injuries . Baltimore, Williams & Wilkins Co, 1968, pp 127-134. 8. Nutik S: Carotid paraclinoid aneurysms with intradural origin and intracavernous location . J Neurosurg 48:526-533, 1978.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Primary Aberrant Oculomotor Regeneration due to Intracranial Aneurysm

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1979.00500450064012
Publisher site
See Article on Publisher Site

Abstract

Abstract • Two elderly patients had unilateral ophthalmoparesis and retrobulbar pain. Both had subtle lid signs of aberrant regeneration of the third nerve without preceding acute oculomotor paralysis, and both were found to have intracranial aneurysms. Although primary aberrant oculomotor regeneration has been reported previously in patients with aneurysms and meningiomas, the diagnostic importance of this sign in the elderly has not been emphasized. The presence of lid elevation on downgaze associated with slowly progressive ophthalmoplegia in patients aged 65 or older suggests aneurysm in or near the cavernous sinus. References 1. Schatz NJ, Savino PJ, Corbett JJ: Primary aberrant oculomotor regeneration: A sign of intracavernous meningioma . Arch Neurol 34:29-32, 1977.Crossref 2. Trobe JT, Glaser JS, Post JD: Meningiomas and aneurysms of the cavernous sinus . Arch Ophthalmol 96:457-467, 1978.Crossref 3. Levin PM: Intracranial aneurysms . Arch Neurol Psychiatry 67:771-786, 1952.Crossref 4. Glaser JS: Infranuclear disorders of eye movements , in Duane TD (ed): Clinical Ophthalmology . New York, Harper & Row Publishers, 1976, vol 2, chap 12, p 13. 5. Forster RK, Schatz NJ, Smith JL: A subtle eyelid sign in aberrant regeneration of the third nerve . Am J Ophthalmol 67:696-698, 1969. 6. Walsh FB: Third nerve regeneration . Br J Ophthalmol 41:577-598, 1957.Crossref 7. Sunderland S: Nerves and Nerve Injuries . Baltimore, Williams & Wilkins Co, 1968, pp 127-134. 8. Nutik S: Carotid paraclinoid aneurysms with intradural origin and intracavernous location . J Neurosurg 48:526-533, 1978.Crossref

Journal

Archives of NeurologyAmerican Medical Association

Published: Sep 1, 1979

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