Abstract | BACKGROUND: CASE PRESENTATION: A 63-year-old Chinese woman presented with intermittent left ptosis and diplopia and painless incomplete oculomotor nerve palsy without pupil involvement. She manifested no mydriasis or extraocular muscle weakness, and the light reflex was normal. Other cranial nerves and somatosensory and somatomotor examinations were normal. The neostigmine experiment and electromyography were normal, so the diagnosis of myasthenia gravis was excluded. Brain magnetic resonance angiography showed a 4-mm aneurysm located at the cavernous segment of the left internal carotid artery. Unfortunately, the patient refused digital subtraction angiography and was discharged home without further treatment. CONCLUSION:
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Authors | Jing Zheng, Yue Wan |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 17
Issue 1
Pg. 77
(Feb 20 2023)
ISSN: 1752-1947 [Electronic] England |
PMID | 36805779
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2023. The Author(s). |
Topics |
- Female
- Humans
- Middle Aged
- Carotid Artery, Internal
(diagnostic imaging)
- Oculomotor Nerve Diseases
(diagnosis, etiology)
- Intracranial Aneurysm
(complications, diagnostic imaging)
- Aneurysm, Ruptured
- Ocular Motility Disorders
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