Noninvasive neuroimaging of basilar artery dolichoectasia in a patient with an isolated abducens nerve paresis

Nitza Goldenberg-Cohen, Neil R. Miller

Research output: Contribution to journalArticlepeer-review

Abstract

PURPOSE: To describe the neuroimaging findings in a patient with an isolated abducens nerve palsy caused by a dolichoectatic basilar artery. DESIGN: Retrospective case report. METHODS: A 65-year-old man presented with a 3-year history of gradually worsening horizontal double vision. He subsequently underwent magnetic resonance imaging, magnetic resonance angiography, and computed tomographic angiography. RESULTS: Neuroimaging revealed dolichoectasia of the basilar artery. The enlarged, tortuous vessel appeared to be compressing the subarachnoid portion of the nerve at its exit from the brainstem. CONCLUSION: Noninvasive neuroimaging studies are sufficient to establish a diagnosis of basilar artery dolichoectasia in patients with isolated cranial neuropathies.

Original languageEnglish (US)
Pages (from-to)365-367
Number of pages3
JournalAmerican journal of ophthalmology
Volume137
Issue number2
DOIs
StatePublished - Feb 2004

ASJC Scopus subject areas

  • Ophthalmology

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