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KMID : 1155820230180030195
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Neurointervention
2023 Volume.18 No. 3 p.195 ~ p.199
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Unilateral Oculomotor Nerve Palsy as a Rare Manifestation of Isolated Pre-Communicating Segment of Posterior Cerebral Artery Thrombosis
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Farid Qoorchi Moheb Seraj
Sajjad Najafi
Hashem Pahlavan
Hossein Organji
Humain Baharvahdat
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Abstract
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Ipsilateral mydriasis (IM) is usually not acute. However, the acute occurrence of unilateral dilated pupil may result in acute ischemic stroke. Herein, we present 3 patients with IM, lateral eye deviation, ptosis, and contralateral hemiparesis due to isolated occlusion of the pre-communicating segment of the posterior cerebral artery with preservation of the posterior communicating artery, which was successfully treated by emergent mechanical thrombectomy. In a 3-month follow-up, all patients were independent without any neurological deficits.
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KEYWORD
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Aspiration thrombectomy, Ischemic stroke, Oculomotor nerve palsy, Posterior cerebral artery infarction
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