Abstract An 81-year-old woman with recurrent episodes of sudden, painful, third nerve palsy with paralytic mydriasis and transient hypertension was found to have a vascular anomaly heretofore, to our knowledge, not described in the literature. Cerebral angiography revealed dilatation and tortuosity of the posterior cerebral artery. Third nerve compression by this ectatic vessel is the presumed cause of the ophthalmoplegia. Review of the literature failed to uncover previous recognition of this entity. References 1. Sachsenweger R: Clinical localization of oculomotor disturbances , in Vinken PJ, Bruyn GW (eds): Handbook of Clinical Neurology , Amsterdam, North-Holland Publishing Co, 1969, vol 2. 2. Peele TL: The cranial nerves , in The Neuroanatomic Basis for Clinical Neurology , ed 2. New York, McGraw-Hill Book Co, 1961, P 206. 3. Greitz T, Lofstedt S: The relationship between the third ventricle and the basilar artery . Acta Radiol 42:85-100, 1954.Crossref 4. Dandy WE: Concerning the cause of trigeminal neuralgia . Am J Surg 24:447-455, 1934.Crossref 5. Boeri R, Passerini A: The megadolichobasilar anomaly . J Neurol Sci 1:475-484, 1964.Crossref 6. Bingas B, Cotsou S: Cerebello-pontine angle syndrome with uncommon aetiology (A case report) . Neuroradiology 3:165-166, 1972.Crossref 7. Kerber CW, Margolis MT, Newton TH: Tortuous vertebrobasilar system: A cause of cranial nerve signs . Neuroradiology 4:74-77, 1972.Crossref 8. Decker K: Cerebrale Gefasserkrankungen, in Klinische Neuroradiologie . Stuttgart, Germany, Georg Thieme Verlag , 1960, p 152. 9. Hulten-Gyllensten I-L, Lofstedt S, Von Reis G: Observations on generalized arteriectasis . Acta Med Scand 163:125-132, 1959.Crossref 10. Scott M, Stauffer HM: A case of aneurysmal malformation of the vertebral and basilar arteries causing cranial nerve involvement . Am J Roentgenol Radium Ther Nucl Med 92:836-837, 1964. 11. Campbell E, Keedy C: Hemifacial spasm: A note on the etiology in two cases . J Neurosurg 4:342-347, 1947.Crossref 12. Brihaye J, et al: Glossopharyngeal neuralgia . J Neurosurg 13:294-302, 1956.Crossref 13. Von Mitterwallner: Variotionsstatistische Untersuchungen An Der Basalen Hirngefassen . Acta Anat 24:51-88, 1955.Crossref 14. Krayenbuhl HA, Yasargil MG: Cerebral Angiography . London, Butterworth & Co Ltd, 1968, p 34. 15. Friedman AP, Harter DH, Merritt HH: Ophthalmoplegic migraine . Arch Neurol 7:320-327, 1962.Crossref 16. Walsh JP, O'Doherty DS: A possible explanation of the mechanism of migraine . Neurology 10:1079-1084, 1960.Crossref
Archives of Neurology – American Medical Association
Published: Oct 1, 1973
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