Sibi Joseph
Department of Neurology, Nelson Mandela Academic Hospital, Walter Sisulu University, South AfricaPublications
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Case Report
Bilateral Internal Carotid Artery Aneurysms Presenting as Recurrent Al ternating Oculomotor Palsy: A Case Report with Therapeutic and Drug Considerations
Author(s): Sibi Joseph, Saumya Elzebeth Mathew, Lourdes de Fatima Ibanez Valdes and Humberto Foyaca Sibat*
Alternating oculomotor (cranial nerve III) palsy is a rare symptom of bilateral intracranial aneurysms. Particularly in patients receiving or suspected of exposure to neuroactive or vasoactive drugs, these situations provide a considerable diagnostic difficulty since fluctuating symptoms may be mistaken as neuromuscular diseases. We describe the case of a 39-year-old HIV-negative lady who had two separate episodes of ophthalmoplegia and unilateral ptosis when she arrived to Nelson Mandela Academic Hospital. The left eye was affected in the first episode in March 2025, and the right eye was affected in December of the same year. Drug-induced neuromuscular junction disorders and medication-related cranial neuropathies were taken into consideration in the differential diagnosis even though the patient had no history of alcohol abuse or recreational drug exposure. CT a.. Read More»
DOI: 10.4303/JDAR/236502