Posterior communicating artery aneurysm presenting as isolated
oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study
Dublin Core
Title
Posterior communicating artery aneurysm presenting as isolated
oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study
oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study
Subject
aneurysm; coiling; oculomotor nerve palsy; posterior
communicating artery
communicating artery
Description
Background: Posterior communicating artery (PCOM) aneurysms are the
prevalent type of aneurysm with high rupture risks. Isolated oculomotor
nerve (CN III) palsy is a key symptom warranting heightened awareness
in primary care. Given the need for advanced imaging, early referral is
paramount. This study highlights the significance of prompt identification,
targeted intervention, and comprehensive management in optimizing patient
outcomes.
Case: A 58-year-old woman presented with isolated CN III palsy. The patient
underwent rapid referral to tertiary care with magnetic resonance angiography
(MRA) and digital subtraction angiography (DSA), revealing an aneurysm
in the PCOM. Subsequently, coiling was performed to achieve complete
occlusion. The procedure resulted in significant neurological recovery, with
restoration of CN III function. Post-coiling, the patient receives close nurse
monitoring, incorporating fall management and comprehensive education
before discharge. CN III palsy is one of the unique-noticeable presentations
of PCOM aneurysms, though symptoms may include facial pain, occasional
headaches, and migraines. Coiling was chosen due to its less invasiveness
and was recommended for posterior circulation aneurysms. Blood pressure
control is essential to prevent aneurysm formation, rupture, and recurrence.
Regular imaging follow-ups were needed to ensure long-term outcomes.
Conclusion: PCOM aneurysm care involves a multidisciplinary approach.
Rapid identification, early referral, immediate occlusion, and comprehensive
rehabilitative programs were mandatory to improve patient outcomes.
prevalent type of aneurysm with high rupture risks. Isolated oculomotor
nerve (CN III) palsy is a key symptom warranting heightened awareness
in primary care. Given the need for advanced imaging, early referral is
paramount. This study highlights the significance of prompt identification,
targeted intervention, and comprehensive management in optimizing patient
outcomes.
Case: A 58-year-old woman presented with isolated CN III palsy. The patient
underwent rapid referral to tertiary care with magnetic resonance angiography
(MRA) and digital subtraction angiography (DSA), revealing an aneurysm
in the PCOM. Subsequently, coiling was performed to achieve complete
occlusion. The procedure resulted in significant neurological recovery, with
restoration of CN III function. Post-coiling, the patient receives close nurse
monitoring, incorporating fall management and comprehensive education
before discharge. CN III palsy is one of the unique-noticeable presentations
of PCOM aneurysms, though symptoms may include facial pain, occasional
headaches, and migraines. Coiling was chosen due to its less invasiveness
and was recommended for posterior circulation aneurysms. Blood pressure
control is essential to prevent aneurysm formation, rupture, and recurrence.
Regular imaging follow-ups were needed to ensure long-term outcomes.
Conclusion: PCOM aneurysm care involves a multidisciplinary approach.
Rapid identification, early referral, immediate occlusion, and comprehensive
rehabilitative programs were mandatory to improve patient outcomes.
Creator
Raden Andi Ario Tedjo1,2* , Subandi Subandi1,2 , Teddy Tejomukti1 ,
Baarid Luqman Hamidi1,2 , Christopher Daniel Tristan3 , Muhammad
Farid Hamka4 , Awalil Rifqi Kurnia Rahman3 , Stefanus Erdana Putra1
, Muhammad Hafizhan1
Baarid Luqman Hamidi1,2 , Christopher Daniel Tristan3 , Muhammad
Farid Hamka4 , Awalil Rifqi Kurnia Rahman3 , Stefanus Erdana Putra1
, Muhammad Hafizhan1
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
April 29, 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Raden Andi Ario Tedjo1,2* , Subandi Subandi1,2 , Teddy Tejomukti1 ,
Baarid Luqman Hamidi1,2 , Christopher Daniel Tristan3 , Muhammad
Farid Hamka4 , Awalil Rifqi Kurnia Rahman3 , Stefanus Erdana Putra1
, Muhammad Hafizhan1, “Posterior communicating artery aneurysm presenting as isolated
oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10777.
oculomotor palsy: The role of rapid identification, intervention, and multidisciplinary care - A case study,” Repository Horizon University Indonesia, accessed February 12, 2026, https://repository.horizon.ac.id/items/show/10777.