M L Slavin1, K R Einberg. 1. Department of Ophthalmology, Long Island Jewish Medical Center, NY 11041, USA.
Abstract
PURPOSE: To determine the cause of delayed-onset ipsilateral abduction defect associated with aberrant regeneration of the oculomotor nerve. METHODS: Isolated oculomotor palsy was noted after successful basilar artery aneurysm surgery in a 35-year-old patient. Several months later, aberrant regeneration of the oculomotor nerve and an ipsilateral abduction defect were first detected. RESULTS: Ocular electromyography demonstrated failure of relaxation of the ipsilateral medial rectus muscle on attempted abduction, suggesting cocontraction of horizontal recti muscles as the origin of the abduction defect. CONCLUSION: A late-onset ipsilateral abduction defect caused by failure of relaxation of the medial rectus muscle may be associated with basilar aneurysm.
PURPOSE: To determine the cause of delayed-onset ipsilateral abduction defect associated with aberrant regeneration of the oculomotor nerve. METHODS: Isolated oculomotor palsy was noted after successful basilar artery aneurysm surgery in a 35-year-old patient. Several months later, aberrant regeneration of the oculomotor nerve and an ipsilateral abduction defect were first detected. RESULTS: Ocular electromyography demonstrated failure of relaxation of the ipsilateral medial rectus muscle on attempted abduction, suggesting cocontraction of horizontal recti muscles as the origin of the abduction defect. CONCLUSION: A late-onset ipsilateral abduction defect caused by failure of relaxation of the medial rectus muscle may be associated with basilar aneurysm.