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British Journal of Neurosurgery Volume 19, 2005 - Issue 3
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CaseReport

Painful third nerve palsy in a patient with perimesencephalic subarachnoid haemorrhage

A. A. Kamat Department of Neurosurgery, Hull Royal Infirmary, Hull, East Yorkshire, UK
,
S. Tizzard Department of Neurosurgery, Hull Royal Infirmary, Hull, East Yorkshire, UK
&
Mr B. Mathew Department of Neurosurgery, Hull Royal Infirmary, Hull, East Yorkshire, UKCorrespondence[email protected]
Pages 247-250 | Received 06 Sep 2004, Accepted 01 Feb 2005, Published online: 06 Jul 2009
 
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Abstract

A patient with perimesencephalic subarachnoid haemorrhage (PMSAH) developed a delayed third nerve palsy. Three formal cerebral angiograms, a computed tomography cerebral angiogram and a magnetic resonance angiogram all failed to reveal a vascular abnormality. Further investigations did not show any medical cause for the palsy. This appears to be the first case report of a patient with PMSAH presenting with a painful third nerve palsy.

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