Neurology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Correspondence:
Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when Correspondence are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Schievink, W. I.
Right arrow Articles by Piepgras, D. G.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Schievink, W. I.
Right arrow Articles by Piepgras, D. G.
NEUROLOGY 1993;43:1938
© 1993 American Academy of Neurology

Ocular motor nerve palsies in spontaneous dissections of the cervical internal carotid artery

W. I. Schievink, MD, B. Mokri, MD, J. A. Garrity, MD, D. A. Nichols, MD and D. G. Piepgras, MD

From the Departments of Neurologic Surgery (Drs. Schievink and Piepgras), Neurology (Dr. Mokri), Ophthalmology (Dr. Garrity), and Diagnostic Radiology (Dr. Nichols), Mayo Clinic and Mayo Foundation, Rochester, MN.

Cranial nerve palsies affecting ocular motor function in patients with spontaneous cervical internal carotid artery dissections are rare. Among 155 patients with spontaneous dissections of the cervical internal carotid artery, four (2.6%) had transient third, fourth, or sixth cranial nerve palsy. The third nerve was involved in two patients, the fourth nerve in one, and the sixth nerve in one. Three patients had ipsilateral headache or facial pain, one had bilateral headaches, and three had oculosympathetic palsy. None had any associated cerebral or retinal ischemic symptoms. Cervical internal carotid artery dissection should be included in the differential diagnosis of palsies of the third, fourth, or sixth cranial nerve, especially when associated with ipsilateral headache or facial pain. Interruption of the nutrient arteries supplying these cranial nerves could explain their involvement by internal carotid artery dissection.

Address correspondence and reprint requests to Dr. Bahram Mokri, Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905.

Received December 24, 1992. Accepted for publication in final form March 11, 1993.






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by AAN Enterprises, Inc.