A frontal external ventricular drain causing a third cranial nerve palsy

Br J Neurosurg. 2017 Oct;31(5):605-606. doi: 10.3109/02688697.2016.1173195. Epub 2016 May 31.

Abstract

This 47-year-old gentleman presented with acute hydrocephalus secondary to a colloid cyst. Bilateral external ventricular drains (EVDs) were inserted. The patient developed a third nerve palsy during post-operative period - cranial imaging demonstrated the tip of an EVD in this vicinity. The palsy recovered completely on slight withdrawal of the EVD.

Keywords: Cerebrospinal fluid drainage; complications; cranial nerve; cyst; hydrocephalus; third nerve palsy.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Angiography
  • Cerebral Ventricles / diagnostic imaging
  • Cerebral Ventricles / surgery*
  • Cerebrospinal Fluid Shunts / adverse effects*
  • Drainage / adverse effects*
  • Humans
  • Hydrocephalus / diagnostic imaging
  • Hydrocephalus / surgery
  • Male
  • Middle Aged
  • Neurosurgical Procedures / methods*
  • Oculomotor Nerve Diseases / diagnostic imaging
  • Oculomotor Nerve Diseases / etiology*
  • Oculomotor Nerve Diseases / surgery*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Recovery of Function
  • Tomography, X-Ray Computed