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Oku H, Miyachi S, Ikeda T. One-Sided Headache Is a Symptom Suggesting Aneurysmal Lesion in Patients with Isolated Abducens Nerve Palsy. Neuroophthalmology. 2016;41(1):35-38doi: 10.1080/01658107.2016.1246573.
Oku, H., Miyachi, S., & Ikeda, T. (2017). One-Sided Headache Is a Symptom Suggesting Aneurysmal Lesion in Patients with Isolated Abducens Nerve Palsy. Neuro-ophthalmology (Aeolus Press), 41(1), 35-38. https://doi.org/10.1080/01658107.2016.1246573
Oku, Hidehiro, et al. "One-Sided Headache Is a Symptom Suggesting Aneurysmal Lesion in Patients with Isolated Abducens Nerve Palsy." Neuro-ophthalmology (Aeolus Press) vol. 41,1 (2017): 35-38. doi: https://doi.org/10.1080/01658107.2016.1246573
Oku H, Miyachi S, Ikeda T. One-Sided Headache Is a Symptom Suggesting Aneurysmal Lesion in Patients with Isolated Abducens Nerve Palsy. Neuroophthalmology. 2016 Nov 18;41(1):35-38. doi: 10.1080/01658107.2016.1246573. eCollection 2017 Feb. PMID: 28228836; PMCID: PMC5278784.
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Neuroophthalmology. 2016 Nov 18;41(1):35-38. doi: 10.1080/01658107.2016.1246573. eCollection 2017 Feb.

One-Sided Headache Is a Symptom Suggesting Aneurysmal Lesion in Patients with Isolated Abducens Nerve Palsy.

Neuro-ophthalmology (Aeolus Press)

Hidehiro Oku, Shigeru Miyachi, Tsunehiko Ikeda

Affiliations

  1. Department of Ophthalmology, Osaka Medical College , Osaka, Japan.
  2. Department of Neuro-Surgery, Osaka Medical College , Osaka, Japan.

PMID: 28228836 PMCID: PMC5278784 DOI: 10.1080/01658107.2016.1246573

Abstract

An isolated unilateral abducens nerve palsy or headache alone usually yields negative findings on neuroimages. The authors report an individual with right abducens nerve palsy who developed a sudden, persistent headache on the right side. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) revealed a giant aneurysm of the cavernous carotid artery that was located along the course of the right abducens nerve. The findings in this case of isolated abducens nerve palsy suggest that headaches should be considered as important signs for intracranial aneurysmal lesions.

Keywords: Aneurysm; MRA; MRI; headache; isolated abducens nerve palsy

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