Balcer L J, Galetta S L, Yousem D M, Golden M A, Asbury A K
Department of Neurology, University of Pennsylvania Medical Center, Philadelphia 19104, USA.
Ann Neurol. 1997 Feb;41(2):273-6. doi: 10.1002/ana.410410221.
We report a patient who presented with a painful pupil-involving third-nerve palsy. Cerebral angiography revealed a high-grade stenosis of the ipsilateral internal carotid artery with a 4-cm intraluminal thrombus. Following emergent carotid endarterectomy, the patient's partial third-nerve palsy resolved in 1 hour. A pupil-involving third-nerve palsy may be an unusual presentation of impending carotid occlusion.