“Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage
Subarachnoid hemorrhage (SAH) is a life-threatening condition most commonly caused by aneurysmal rupture. Sentinel headaches, often described as the “worst headache of life” or a “thunderclap headache,” are critical warning signs that may precede SAH. However, atypical headaches can complicate early...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Neurological Medicine |
| Online Access: | http://dx.doi.org/10.1155/crnm/6786272 |
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| _version_ | 1850265737826926592 |
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| author | Vijay Renga |
| author_facet | Vijay Renga |
| author_sort | Vijay Renga |
| collection | DOAJ |
| description | Subarachnoid hemorrhage (SAH) is a life-threatening condition most commonly caused by aneurysmal rupture. Sentinel headaches, often described as the “worst headache of life” or a “thunderclap headache,” are critical warning signs that may precede SAH. However, atypical headaches can complicate early diagnosis. Oculomotor nerve palsy, though rare, may occur as a complication of both aneurysmal and nonaneurysmal SAH. We report a unique case of a 64-year-old woman who initially presented with atypical headache followed by isolated oculomotor nerve palsy, preceding the onset of a nonaneurysmal SAH. This case highlights isolated oculomotor palsy as a potential unrecognized sentinel sign of SAH. |
| format | Article |
| id | doaj-art-c03cc824ef5c4118b4e90ee7775a017d |
| institution | OA Journals |
| issn | 2090-6676 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Neurological Medicine |
| spelling | doaj-art-c03cc824ef5c4118b4e90ee7775a017d2025-08-20T01:54:20ZengWileyCase Reports in Neurological Medicine2090-66762025-01-01202510.1155/crnm/6786272“Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid HemorrhageVijay Renga0Department of NeurologySubarachnoid hemorrhage (SAH) is a life-threatening condition most commonly caused by aneurysmal rupture. Sentinel headaches, often described as the “worst headache of life” or a “thunderclap headache,” are critical warning signs that may precede SAH. However, atypical headaches can complicate early diagnosis. Oculomotor nerve palsy, though rare, may occur as a complication of both aneurysmal and nonaneurysmal SAH. We report a unique case of a 64-year-old woman who initially presented with atypical headache followed by isolated oculomotor nerve palsy, preceding the onset of a nonaneurysmal SAH. This case highlights isolated oculomotor palsy as a potential unrecognized sentinel sign of SAH.http://dx.doi.org/10.1155/crnm/6786272 |
| spellingShingle | Vijay Renga “Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage Case Reports in Neurological Medicine |
| title | “Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage |
| title_full | “Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage |
| title_fullStr | “Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage |
| title_full_unstemmed | “Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage |
| title_short | “Sentinel Oculomotor Nerve Palsy”: A Harbinger of Subarachnoid Hemorrhage |
| title_sort | sentinel oculomotor nerve palsy a harbinger of subarachnoid hemorrhage |
| url | http://dx.doi.org/10.1155/crnm/6786272 |
| work_keys_str_mv | AT vijayrenga sentineloculomotornervepalsyaharbingerofsubarachnoidhemorrhage |