1043-3155 Pediatr Neurol Briefs pedneurbriefs Pediatr Neurol Briefs Pediatric Neurology Briefs Pediatr Neurol Briefs 2166-6482 1043-3155 2166-3155 Pediatric Neurology Briefs Publishers Chicago, IL, USA PNB-6-80-b 10.15844/pedneurbriefs-6-10-10 Eye Movement Disorders Neurology Pediatrics Nervous System Diseases Child Development Brain Diseases Neurosurgery Child Infant Oculomotor Paresis and Basilar Aneurysm http://orcid.org/0000-0002-0173-7931 Millichap J. Gordon MD 1 2 * Division of Neurology, Children's Memorial Hospital, Chicago, IL Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL Correspondence: Dr. J. Gordon Millichap, E-mail: jgmillichap@northwestern.edu 10 1992 01 07 2016 6 10 80 80 Copyright: © 1992 The Author(s) 1992 This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Transient oculomotor nerve paresis in congenital distal basilar artery aneurysm

The clinical and pathologic findings in a 10 month old girl with congenital heart diseasewho died after rupture of a congenital distal basilar artery aneurysm are reported from the University of Connecticut Health Center, Farmington, CT and the Children’s Hospital of Philadelphia, PA.

 Adduction Deficit Basilar Aneurysm Intracranial Arterial Aneurysm

The clinical and pathologic findings in a 10 month old girl with congenital heart diseasewho died after rupture of a congenital distal basilar artery aneurysm are reported from the University of Connecticut Health Center, Farmington, CT and the Children’s Hospital of Philadelphia, PA. She was hospitalized at 10 months of age after having had 4 syncopal episodes within a 6 week interval. Twenty-four hours after cardiac catherization the infant developed an adduction deficit of the left eye which resolved over the next 36 hours. Five days after surgical correction of the cardiac defect she had a massive subarachnoid hemorrhage. [1]

COMMENT. Transient third nerve paresis in an infant with a history of recurrent syncope and congenital heart disease should suggest a possible intracranial arterial aneurysm. The authors found 6 previous reports of basilar aneurysm preceded by a transient third nerve dysfunction. A migraine variant is another explanation. [2]

 DiMario FJ Jr Rorke LB Transient oculomotor nerve paresis in congenital distal basilar artery aneurysm Pediatr Neurol 1992 Jul-Aug 8 4 303 306 10.1016/0887-8994(92)90371-5 1388422 Shevell MI Ann Neurol 1992 Sept 32 484 (abstr)