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Spontaneous resolution of aneurysmal third nerve palsy

Rod Foroozan1, Thomas L Slamovits, Susan M Ksiazek

  • 1Neuro-Ophthalmology Service, Wills Eye Hospital, Thomas Jefferson University, 900 Walnut Street, Philadelphia, PA 19107, USA. rforoozan@hotmail.com

Journal of Neuro-Ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
|September 28, 2002
PubMed

Palsy of the third cranial nerve developed in a 33-year-old woman in her third trimester of pregnancy as a result of compression by a posterior communicating artery aneurysm. Prepartum complications forced postponement of surgical treatment. The palsy spontaneously resolved over 3 weeks after delivery by cesarean section. Repeat angiography suggested that the aneurysmal sac had shrunk. Spontaneous complete resolution of a third nerve palsy does not exclude an aneurysmal cause.

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