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Vascular compression of the oculomotor nerve disclosed by thin-slice magnetic resonance imaging
Authors:Masato Hashimoto MD  PhD  Kenji Ohtsuka MD  PhD  Hidenari Akiba MD  Kuniaki Harada RT
Affiliation:aDepartment of Ophthalmology (M.H., K.O.), Sapporo Medical University, School of Medicine, Sapporo, Japan;bRadiology (H.A., K.H.), Sapporo Medical University, School of Medicine, Sapporo, Japan
Abstract:Purpose: To describe the thin-slice magnetic resonance imaging features of vascular compressive oculomotor nerve paresis.Methods: We performed thin-slice (2 mm thick) magnetic resonance imaging of the brainstem in a 74-year-old woman with right partial oculomotor nerve paresis using spoiled gradient recalled acquisition in the steady state.Results: Thin-slice magnetic resonance images disclosed that the right oculomotor nerve was compressed and dislocated superiorly and laterally by the tortuous basilar artery. No other abnormalities were observed.Conclusion: This is the first case report of vascular compressive oculomotor nerve paresis disclosed by thin-slice magnetic resonance imaging.
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