Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation

Mary Maher, Carolina Adams, Gul Moonis, Steven E. Brooks

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Purpose: To report a case of neurovascular compression in a patient presenting with ophthalmic evidence of aberrant reinnervation. Observation: A 68-year-old woman diagnosed with right partial third nerve palsy with aberrant regeneration. Suspicion was based on isolated clinical features of the right eye, including ptosis, upper eyelid elevation on adduction, mydriasis, exotropia, and hypotropia. Magnetic resonance imaging revealed atrophy of the right oculomotor nerve secondary to neurovascular compression from a prominent right superior cerebellar artery. Conclusion and importance: This case highlights the importance of utilizing Fast Imaging Employing Steady-state Acquisition (FIESTA) for the diagnosis of oculomotor nerve palsy presenting with evidence of aberrant reinnervation.

Original languageEnglish (US)
Article number100972
JournalAmerican Journal of Ophthalmology Case Reports
StatePublished - Mar 2021
Externally publishedYes


  • Aberrant reinnervation
  • MRI
  • Neuro-ophthalmology
  • Ocular motility

ASJC Scopus subject areas

  • Ophthalmology


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