Double vision in a child - Comments

A 10-year-old boy presented with a complete left oculomotor cranial nerve p alsy. Diagnostic evaluation including neuroimaging and cerebral angiography revealed a small intracranial aneurysm compressing the third nerve. Neuros urgical clipping of the aneurysm produced resolution of the third nerve pal sy. The rarity of this presentation in a young patient is discussed, along with the importance of rapid diagnosis and treatment (C) 1999 by Elsevier S cience Inc. All rights reserved.