Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular

Aneurysm

 

Muerte Encefálica: Diagnóstico Apoyado por Doppler Transcraneal. Brain Death: Diagnosis Supported By Transcranial Doppler

Brain death is diagnosed through a clinical examination that requires a period of observation.  We present the case of a patient diagnosed with aneurysmal subarachnoid hemorrhage, in whom after presenting symptomatic vasospasm, brain death was diagnosed with the support of transcranial Doppler sonography.

Conclusion: Transcranial Doppler allows us to demonstrate the cerebral circulatory arrest that accompanies brain death and shortens the observation period.

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Palabras clave: Aneurisma, diagnóstico, Doppler transcraneal, Hemorragia Subaracnoidea, Muerte encefálica,

Keywords: Aneurysm, Brain death, diagnosis, Subarachnoid Hemorrhage, Transcranial Doppler,

Parálisis Del III Par Craneal Con Disfunción Externa Completa y Preservación Pupilar Como Manifestación de Aneurisma. Reporte de Caso. Third Nerve Palsy With Complete External Dysfunction And Pupillary Preservation, As A Manifestation Of Aneurysm. Case Report.

Acquired paralysis of the oculomotor nerve in the adult population includes various etiologies and frequently those that produce compressive lesions, such as intracranial aneurysms, generate pupillary involvement.

Increasing reports have shown atypical clinical presentations in intracranial aneurysms and this report presents the case of a patient without internal dysfunction or with pupillary preservation in addition to complete external dysfunction, that is, paralysis of all extraocular muscles innervated by the third cranial nerve, due to an intracranial aneurysm, which has not been published in the literature so far. Considering the mortality that is implied by an aneurysmal rupture and the novel clinical presentations reported to date, it is of great importance to request diagnostic means quickly to all patients with third cranial nerve palsy, regardless of their clinical expression.

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Palabras clave: Aneurisma, Arteria Carótida interna, Blefaroptosis, Enfermedades del Nervio Oculomotor, Oftalmoplejía, Trastornos de la pupila,

Keywords: Aneurysm, Blepharoptosis, internal carotid artery, Oculomotor Nerve Diseases, Ophthalmoplegia, Pupil Disorders,
 
 
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