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KMID : 0359720200380020116
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Journal of the Korean Neurological Association
2020 Volume.38 No. 2 p.116 ~ p.119
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Oculomotor Nerve Palsy that Developed after Endovascular Treatment in an Acute Stroke Patient with a Dissecting Occlusion of the Extracranial Internal Carotid Artery
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Kim Joong-Goo
Kang Chul-Hoo
Choi Jay-Chol
Oh Jung-Hwan
Lee Jung-Seok
Kang Sa-Yoon
Song Sook-Keun
Kang Ji-Hoon
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Abstract
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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.
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KEYWORD
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Dissection, Carotid arteries, Oculomotor nerve paralysis
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