J Korean Neurol Assoc.  2020 May;38(2):116-119. 10.17340/jkna.2020.2.5.

Oculomotor Nerve Palsy that Developed after Endovascular Treatment in an Acute Stroke Patient with a Dissecting Occlusion of the Extracranial Internal Carotid Artery

Affiliations
  • 1Department of Neurology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju, Korea

Abstract

Oculomotor nerve palsy is underrecognized clinical manifestation of extracranial internal carotid artery (ICA) dissection. Herein we report a case of complete oculomotor nerve palsy following endovascular revascularization, which developed in a patient with acute stroke due to extracranial ICA dissecting occlusion. We also discuss about the development mechanism of oculomotor nerve palsy, considering the vascular anatomy and the possibility of periprocedural complications during endovascular treatment.

Keyword

Dissection; Carotid arteries; Oculomotor nerve paralysis
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