Journal of Korean Society of Geriatric Neurosurgery 2016;12(2):269-273.
Published online September 30, 2016.
Oculomotor Nerve Palsy Caused by Unruptured Anterior Choroidal Artery Aneurysm and Iatrogenic Carotid Cavernous Fistula in Systemic Lupus Erythematosus Patient
Jae Young Choi1 , Jae Il Lee2
1Department of Neurosurgery, Kosin University Gospel Hospital, Busan, 2Department of Neurosurgery, Pusan National University School of Medicine, Busan, Korea
Most common cause of direct carotid cavernous fistula is facial trauma. However, there have been some reports that demonstrated that direct carotid cavernous fistula was caused by a cavernous internal carotid artery aneurysm rupture. Herein, we report a rare case of iatrogenic carotid cavernous fistula caused by aneurysm rupture during endovascular treatment of unruptured anterior choroidal artery aneurysm causing oculomotor nerve palsy in systemic lupus erythematosus patient. Oculomotor nerve palsy is a well‐known cranial nerve palsy of symptomatic unruptured intracranial aneurysms of the posterior communicating artery.
Key Words: Systemic lupus erythematosus, Oculomotor nerve palsy, anterior choroidal artery aneurysm, Carotid-cavernous fistula

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