{"id":"d6fe68c5-6372-434c-8392-4e94a0246f8e","slug":"ruptured-posterior-cerebral-artery-aneurysm-presenting-with-a-contralateral-cranial-nerve-iii-palsy-a-case-report","title":"Ruptured posterior cerebral artery aneurysm presenting with a contralateral cranial nerve III palsy: A case report","authors":["Nauman S. Chaudhry","Denise Brunozzi","Sophia F. Shakur","Fady T. Charbel","Ali Alaraj"],"abstract":"Background: Posterior cerebral artery aneurysms can frequently present with an ipsilateral cranial nerve III palsy. Case Description: We report the first case of a posterior cerebral artery aneurysm associated with a contralateral cranial nerve III palsy. A 64-year-old male presented with acute subarachnoid hemorrhage, Hunt and Hess grade 3, and a left-sided fixed and dilated pupil. Computed tomography scan showed hemorrhage, mainly within the left basal cisterns. Digital subtraction angiography revealed a right-sided P1–P2 junction aneurysm. Conclusions: This case demonstrates that, although the neurological exam can help pinpoint the location of a lesion, false localizing signs should be recognized.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/d6fe68c5-6372-434c-8392-4e94a0246f8e/featured/hero-1782421069086.png","publishDate":"2018-03-01T00:00:00.000Z","doi":"10.4103/sni.sni_430_17","categories":["Neurovascular","Case Report"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2018/03/8793/SNI-9-52.pdf"}