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KMID : 0858420070090020148
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Korean Journal of Stroke
2007 Volume.9 No. 2 p.148 ~ p.151
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Bilateral Cavernous Internal Carotid Aneurysm in Polyarteritis Nodosa Presenting with Bilateral Ophthalmoplegia
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Kim Min-Ho
Chu Min-Kyung
Oh Mee-Sun
Lee Byung-Chul
Kim Keon-Ha
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Abstract
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Polyarteritis nodosa (PAN) is a rare, systemic necrotizing vasculitis that predominantly affects small- and medium-sized visceral arteries. The most common sites affected in PAN are the skin, joints, kidneys, gastrointestinal tract, and peripheral nerves. Involvement of the central nervous system (CNS) in PAN has also been reported, and the most common neurological finding is focal cerebral ischemia with stenosis or occlusion of intracranial arteries. Although aneurysm formation in visceral arteries is common in PAN, intra-cranial aneurysms are extremely rare. To our knowledge, the case of bilateral cavernous internal carotid aneurysm in PAN has not been reported. We report the case of bilateral cavernous internal carotid aneurysm in PAN that presented with bilateral ophthalmoplegia. (Korean J Stroke 2007;9:148-151)
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KEYWORD
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Polyarteritis nodosa, Bilateral carotid aneurysm, Ophthalmoplegia
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