Case Report

Transient Complete Unilateral Oculomotor Nerve Palsy following Clipping of Ruptured Anterior Communicating Artery Aneurysm: An Abstruse Phenomenon

Table 1

Cases of oculomotor nerve palsy associated with subarachnoid hemorrhage from aneurysms at anterior communicating artery complex.

Sr No.Author (Year)Age/SexFisher gradeGCSDay of appearanceComplete/
Partial
Side affectedAneurysm size and projectionDay of recoveryCommentsPossible explanation

1Suzuki J et al. (1974) [3]59 / FNANA0PartialRightRight A1§
15 × 10 × 10 mm
24Megadolichobasilar anomalyRaised ICPII/ Vascular malformation

2Suzuki J et al. (1974) [3]48 / MNA15 (EVD)2 (EVD)CompleteBilateral3 mm (on autopsy)ExpiredNoneTentorial herniation

3Coyne TJ et al. (1994) [4]59 / F3140CompleteBilateralNA120HTN#Clot in cistern / raised ICP

4Aiba et al. (2003) [5]61 / F3150CompleteLeftNA30Inverted left PCA and SCAUnusual anatomy

5Aiba et al. (2003) [5]70 / F3Confused Delirious0CompleteRightNA60NoneClot in cistern / raised ICP

6Satyarthee et al. (2004) [6]65 / F3150CompleteRightNA180HTNMedial temporal haematoma

7White JB et al. (2007) [7]46 / M3150CompleteLeft10 mm × 9 mm × 7 mmNAHTNClot / blood products

8Kang SD et al. (2007) [8]68 / F3Semicomatose0CompleteLeftNAPartial – 1 yearLacunar infarct of ponsClot, herniation / vasospasm

9Fairbanks C et al. (2011) [9]? / F3150PartialLeftSuperiorly and anteriorly measured 1×2×1 mm30ACA-A2 aneurysm HTNMass effect, hemotoxicity and ischemia

10Balossier A et al. (2012) [10]55 / F3151
(Emb)
CompleteRightNA90HTNinterpeduncular cistern haematoma

11Srinivasan A et al. (2015) [2]55 / F390PartialLeftAntero-superiorPartial - 21HTNPerfusion deficits, hemorrhagic dissection of the nerve

12Our case60 / F2152
(PO)
CompleteRightAntero-superior 8 mm × 7 mm
×5 mm
61HTNNeurapraxia by jet of blood or vasospasm

M: Male, F: Female; †: Glasgow Coma Scale score; ‡: details not available; §: A1 segment of anterior cerebral artery; II: intracranial pressure; : following external ventricular drainage; #: systemic hypertension; PCA: posterior cerebral artery; SCA: superior cerebellar artery; ACA: anterior cerebral artery; A2: A2 segment of anterior cerebral artery; : following embolization; : postoperative.