MALE PATIENT WITH DISSECTION OF THE POSTERIOR CEREBRAL ARTERY AND OCULOMOTOR NERVE PALSY: A CASE REPORT AND A REVIEW FROM THE LITERATURE

  • Danijela Vojtikiv Samoilovska PZU D-r Danijela
  • Anita Arsovska University Clinic of Neurology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
  • Rodna Kozlovska Public Health Polyclinic, Skopje, North Macedonia
  • Suzana Trajkova Public Health Polyclinic, Skopje, North Macedonia

Abstract

Spontaneous intracranial artery dissection is an uncommon and probably under diagnosed cause of stroke and subarachnoid hemorrhage that is defined by the occurrence of a hematoma in the wall of an intracranial artery. We introduce a case of dissection of the P2 segment of the posterior cerebral artery (PCA) presented with new onset headache and unilateral, left oculomotor nerve palsy. The patient had a diagnosed thrombophilia and previous deep vein thrombosis. Digital subtraction angiography (DSA) revealed dissection of the P1-P2 segment of the PCA with occlusion of the distal branches P3-P4. CT excluded acute stroke. The patient was put on anticoagulant therapy, with clinical improving after 2 weeks. The left third nerve had been distorted because of vascular compression.  Conclusion: Isolated dissection of the PCA is rare. Multicenter prospective studies with standardized protocols for diagnosis, imaging, and follow-up of intracranial artery dissection are needed.


Keywords: dissection, PCA

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Published
2022-12-29
How to Cite
VOJTIKIV SAMOILOVSKA, Danijela et al. MALE PATIENT WITH DISSECTION OF THE POSTERIOR CEREBRAL ARTERY AND OCULOMOTOR NERVE PALSY: A CASE REPORT AND A REVIEW FROM THE LITERATURE. Journal of Morphological Sciences, [S.l.], v. 5, n. 3, p. 98-103, dec. 2022. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol5no3-16>. Date accessed: 09 feb. 2023.
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Articles