Isolated Bilateral Abducens Nerve Palsy Caused by Basilar Artery
Dissecting Aneurysm

J Korean Neurol Assoc > Volume 30(4); 2012 > Article

Journal of the Korean Neurological Association 2012;30(4): 316-318.

기저동맥 박리동맥류에 의한 단독 양측외전신경마비

정은환, 김성재 강명진 최재형 허재택 김대현 차재관

동아대학교 의과대학 신경과학교실 , 부산울산권역 심뇌혈관센터

Isolated Bilateral Abducens Nerve Palsy Caused by Basilar Artery Dissecting Aneurysm

Eun-Hwan Jeong

Department of Neurology, Dong-A University College of Medicine a , Busan-Ulsan Regional Cardiocerebrovascular Center b , Busan, Korea

Abstract

Bilateral abducens nerve palsy is mediated mainly by increased intracranial pressure, accompaniment to subarachnoid hemorrhage and others, relatively direct involvement of abducens nerve nucleus or its intracranial pathway is unusual case. A 45-year-old male patient complaining of double vision showed isolated bilateral abducens palsy. Cerebral angiography revealed a dissecting aneurysm of the basilar artery. Bilateral abduction deficit has resolved after stent assisted coil embolization. We suggest that basilar artery dissecting aneurysm should be included as a cause of bilateral abducens nerve palsy. Key Words: Abducens nerve palsy, Basilar artery, Dissecting 무뎌교느