Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation

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

doi:10.1016/j.ajoc.2020.100972

Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation

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

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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 language	English (US)
Article number	100972
Journal	American Journal of Ophthalmology Case Reports
Volume	21
DOIs	https://doi.org/10.1016/j.ajoc.2020.100972
State	Published - Mar 2021
Externally published	Yes

Keywords

Aberrant reinnervation
MRI
Neuro-ophthalmology
Ocular motility

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajoc.2020.100972

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title = "Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation",

abstract = "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.",

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AU - Maher, Mary

AU - Adams, Carolina

AU - Moonis, Gul

AU - Brooks, Steven E.

PY - 2021/3

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N2 - 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.

AB - 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.

KW - Aberrant reinnervation

KW - MRI

KW - Neuro-ophthalmology

KW - Ocular motility

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Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation

Abstract

Keywords

ASJC Scopus subject areas

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