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Isolated oculomotor nerve palsy in a child caused by an internal carotid aneurysm

Vedang Shah1, Mahesh Kumar, Kowsalya Akkayasamy

  • 1Aravind Eye Hospital, Madurai, Tamil Nadu, India.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|November 12, 2013
PubMed

Insights

Acquired oculomotor nerve palsy in children typically results from trauma, inflammation, or tumors. This case highlights an intracranial carotid aneurysm as a rare cause of isolated oculomotor nerve palsy in a pediatric patient.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Vascular Neurology

Background:

  • Oculomotor nerve palsy in children has diverse etiologies, including trauma, inflammation, and neoplasms.
  • Isolated oculomotor nerve palsy (ONP) requires thorough etiological investigation.

Observation:

  • A 13-year-old boy presented with isolated oculomotor nerve palsy.
  • The palsy was found to be secondary to an intracranial carotid aneurysm.

Findings:

  • Intracranial carotid aneurysms are an uncommon cause of acquired isolated oculomotor nerve palsy in pediatric populations.
  • This case underscores the importance of considering vascular lesions in the differential diagnosis of pediatric ONP.

Implications:

  • Early diagnosis and management of intracranial aneurysms are crucial to prevent neurological deficits.
  • This case contributes to the understanding of rare causes of ONP in children, aiding future diagnostic approaches.

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