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Oculomotor nerve palsy or oculomotor neuropathy [1] is an eye condition resulting from damage to the third cranial nerve or a branch thereof. As the name suggests, the oculomotor nerve supplies the majority of the muscles controlling eye movements (four of the six extraocular muscles, excluding only the lateral rectus and superior oblique).
On the converse, an aneurysm which leads to compression of the oculomotor nerve affects the superficial fibers and manifests as a third nerve palsy with loss of the pupillary reflex (in fact, this third nerve finding is considered to represent an aneurysm—until proven otherwise—and should be investigated). [3]
Ptosis caused by oculomotor palsy can be unilateral or bilateral, as the subnucleus to the levator muscle is a shared midline structure in the brainstem. In cases where the palsy is caused by the compression of the nerve by a tumor or aneurysm, it is highly likely to result in an abnormal ipsilateral papillary response and a larger pupil ...
More formally, it is characterized by "a conjugate horizontal gaze palsy in one direction and an internuclear ophthalmoplegia in the other". [1] [2] Nystagmus is also present when the eye on the opposite side of the lesion is abducted. Convergence is classically spared as cranial nerve III (oculomotor nerve) and its nucleus is spared bilaterally.
Aneurysms of the posterior communicating artery are the third most common circle of Willis aneurysm [5] (the most common are anterior communicating artery aneurysms) and can lead to oculomotor nerve palsy. [6]
A brain aneurysm occurs when a weak spot on an artery in the brain balloons and fills with blood, potentially putting pressure on the nerves or brain tissue, according to the National Institute of ...
Proptosis, ptosis, chemosis, and cranial nerve palsy beginning in one eye and progressing to the other eye establish the diagnosis. Cavernous sinus thrombosis is a clinical diagnosis with laboratory tests and imaging studies confirming the clinical impression.
Dre made headlines in January 2021 when he was rushed to Cedars-Sinai Medical Center in Los Angeles after suffering a brain aneurysm. At the time, a Dr. Dre Reveals He Had 3 Strokes Following ...