J Korean Neurol Assoc.  2012 Nov;30(4):316-318.

Isolated Bilateral Abducens Nerve Palsy Caused by Basilar Artery Dissecting Aneurysm

Affiliations
  • 1Department of Neurology, Dong-A University College of Medicine, Busan, Korea. kdh6542@hanmail.net
  • 2Busan-Ulsan Regional Cardiocerebrovascular Center, Busan, Korea.

Abstract

Bilateral abducens nerve palsy is mediated mainly by increased intracranial pressure, accompaniment to subarachnoid hemorrhage and others, relatively direct involvement of abducens nerve nucleus or its intracranial pathway is unusual case. A 45-year-old male patient complaining of double vision showed isolated bilateral abducens palsy. Cerebral angiography revealed a dissecting aneurysm of the basilar artery. Bilateral abduction deficit has resolved after stent assisted coil embolization. We suggest that basilar artery dissecting aneurysm should be included as a cause of bilateral abducens nerve palsy.

Keyword

Abducens nerve palsy; Basilar artery; Dissecting aneurysm

MeSH Terms

Abducens Nerve
Abducens Nerve Diseases
Aneurysm, Dissecting
Basilar Artery
Cerebral Angiography
Diplopia
Humans
Intracranial Pressure
Male
Middle Aged
Paralysis
Stents
Subarachnoid Hemorrhage
Abducens Nerve Diseases
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