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KMID : 0359720230410010035
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Journal of the Korean Neurological Association
2023 Volume.41 No. 1 p.35 ~ p.38
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A Case of Anterior Communicating Artery Aneurysm Impending Rupture Presenting with Isolated Painful Adduction Palsy Mimicking Ischemic Internuclear Ophthalmoplegia
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Ko Ji-Hee
Kim Min-Ju
Kang Sa-Yoon
Kang Ji-Hoon
Oh Jung-Hwan
Choi Jay-Chol
Lee Jung-Seok
Song Sook-Keun
Kang Chul-Hoo
Kim Hong-Jun
Rhim Jong-Kook
Kim Joong-Goo
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Abstract
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Anterior communicating artery (ACoA) aneurysms may rarely lead to oculomotor nerve palsy. We present here interesting cases in which isolated unilateral adduction paresis mimicking internuclear ophthalmoplegia (INO) was one of the symptoms of suspicious impending ruptured aneurysm of the ACoA. Careful neurologic examination is crucial for early discrimination with INO and oculomotor palsy.
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KEYWORD
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Aneurysm, Intracranial aneurysm, Ocular motility disorders
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Listed journal information
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