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Perimesencephalic nonaneurysmal subarachnoid hemorrhage with unilateral third cranial nerve palsy: two case reports. | LitMetric

AI Article Synopsis

  • Perimesencephalic nonaneurysmal subarachnoid hemorrhage (PNSAH) is a typically harmless type of bleeding in the brain that usually doesn't cause major neurological issues.
  • This text discusses two unusual cases where PNSAH led to temporary damage of one of the cranial nerves (third cranial nerve palsy) in both patients.
  • Both patients were treated without surgery and experienced a full recovery, indicating that the outlook for patients with this type of nerve issue alongside PNSAH is generally positive.

Article Abstract

Perimesencephalic nonaneurysmal subarachnoid hemorrhage (PNSAH) is a benign form of subarachnoid hemorrhage and is usually not associated with any focal deficit. We describe two rare cases of PNSAH with unilateral third cranial nerve palsy. Both patients were treated conservatively. The outcomes of our two cases were excellent. The third cranial nerve palsy resolved gradually in both patients, suggesting that the prognosis for third cranial nerve palsy concomitant with PNSAH is favorable. Unilateral third cranial nerve palsy may occur as the first clinical manifestation of PNSAH.

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Source
http://dx.doi.org/10.2176/nmc.52.918DOI Listing

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