The Ophthalmology Unit, Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.
The Ophthalmology Department, SarawakGeneralHospital,
Kuching, Sarawak, East Malaysia.
a
a
Posterior
communicating artery aneurysm
Photo by Professor Chua
Chung Nen
This 49 year-old woman who
was previously well developed a sudden headache and collapsed at home.
Urgent brain scan revealed a posterior communicating artery aneurysm
confirmed on carotid artery angiogram and the aneurysm was clipped.
Post-operatively the patient complained of diplopia and ptosis. Ocular
movement showed partial third nerve palsy.
Cerebral angiogram shows the
presence of a left posterior communicating aneurysm.
Left partial ptosis and down and
out globe.
Ocular movement shows muscles
supplied by the third nerve have weak actions.
