Bilateral abducens nerve palsy after a rupture of an anterior communicating artery aneurysm: a case report

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DOI:

https://doi.org/10.37085/jmmv4.n1.2022.pp.20-22

Palavras-chave:

VI par craniano, aneurisma, paralisia, relato de caso

Resumo

A rare case of bilateral abducens nerve palsy occurred in a 60-year-old man hospitalized after a sudden severe headache and horizontal binocular diplopia. The patient did not present other neurological manifestations. A computed tomography (CT) revealed a subarachnoid hemorrhage, and the arteriography showed an anterior communicating artery (ACoA) aneurysm. After the aneurysm embolization, the patient continues to evolve with maintenance of the condition. Bilateral abducens nerve palsy can occur due to several factors, but its pathophysiology associated with the rupture of aneurysms in ACoA has several gaps in knowledge and scarce literary support. Thus, the need for studies in this field is pointed.

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Referências

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Jeon JS, Lee SH, Son YJ, Chung YS. Slowly recovering isolated bilateral abducens nerve palsy after embolization of ruptured anterior communicating artery aneurysm. J Korean Neurosurg Soc. 2013 Feb;53(2):112-4. doi: 10.3340/jkns.2013.53.2.112. Epub 2013 Feb 28. PMID: 23560176; PMCID: PMC3611054.

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Publicado

06/07/2022

Como Citar

Bem Junior, L. S., da Cunha Ferreira Neto, O. ., Helena Rodrigues Silva, M., Fechine de Alencar Neto, J. ., Batista Lemos, N. ., Marcus de Menezes Lima Correia, V., Felipe Gonçalves de Lima, L. ., José Araruna Dias, A. ., Egypto Pereira, V., Sena Almeida , N. ., & Rocha Cirne de Azevedo Filho, H. (2022). Bilateral abducens nerve palsy after a rupture of an anterior communicating artery aneurysm: a case report . Jornal Memorial Da Medicina, 4(1), 20–22. https://doi.org/10.37085/jmmv4.n1.2022.pp.20-22

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