Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation

American Journal of Ophthalmology Case Reports

Carolina Adams¹  Steven E. Brooks¹  Gul Moonis²  Mary Maher³ 

[1] Department of Ophthalmology, Columbia University Irving Medical Center, 635 West 165 Street, New York, NY, United States;Department of Radiology, Columbia University Irving Medical Center, 622 West 168th Street, New York, NY, United States;Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, United States;

关键词: Neuro-ophthalmology;    MRI;    Ocular motility;    Aberrant reinnervation;   

DOI  :  

来源: DOAJ

【 摘 要 】

Purpose: To report a case of neurovascular compression in a patient presenting with ophthalmic evidence of aberrant reinnervation. Observation: A 68-year-old woman diagnosed with right partial third nerve palsy with aberrant regeneration. Suspicion was based on isolated clinical features of the right eye, including ptosis, upper eyelid elevation on adduction, mydriasis, exotropia, and hypotropia. Magnetic resonance imaging revealed atrophy of the right oculomotor nerve secondary to neurovascular compression from a prominent right superior cerebellar artery. Conclusion and importance: This case highlights the importance of utilizing Fast Imaging Employing Steady-state Acquisition (FIESTA) for the diagnosis of oculomotor nerve palsy presenting with evidence of aberrant reinnervation.

【 授权许可】

Unknown