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Published on: June 2, 2018
Aberrant regeneration of the third nerve (oculomotor synkinesis)
Daniel Ross Gold1, Robert K Shin, Nirali P Bhatt
1Department of Neurology, University of Maryland, Baltimore, MD, USA. Daniel.Gold@uphs.upenn.edu
Abstract:
Aberrant regeneration of a third nerve palsy (oculomotor synkinesis) excludes an ischaemic cause and in the absence of relevant trauma strongly suggests a compressive aetiology. A scan is mandatory in such cases. We describe the case of a 52-year-old woman who presented with complete pupil-involving third nerve palsy from a posterior communicating artery aneurysm, who later developed widespread aberrant regeneration of pupil, eyelid and third nerve territory rectus muscles.
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