case_images: PMC10551951_01
case_images: Ipsilateral oculomotor nerve palsy of the right eye post-thrombectomy. The eye was exotropic and infraducted at rest (down and out) with difficulty in adduction and supraduction.
case_images: bmjno-2023-000500f01.jpg
case_images: PMC10551951_01_bmjno-2023-000500f01.jpg
case_images: F1
case_images: The eye was exotropic and infraducted at rest (down and out) with difficulty in adduction and supraduction consistent with an ipsilateral oculomotor nerve palsy (figure 1).
case_images: CT and 24-hour MRI images. Repeat CT imaging post-thrombectomy at time of deterioration, demonstrating large volume subarachnoid blood at the perimesencephalic area (particularly along the course of the right oculomotor nerve). A 24-hour MRI demonstrating large volume blood products within the supratentorial and infratentorial subarachnoid spaces and the ventricular system.
case_images: bmjno-2023-000500f02.jpg
case_images: PMC10551951_01_bmjno-2023-000500f02.jpg
case_images: F2
case_images: Urgent repeat code stroke imaging was performed, which revealed a large amount of subarachnoid blood at the perimesencephalic area (particularly along the course of the right oculomotor nerve) but no evidence of large vessel reocclusion (in particular no basilar occlusion) or large symptomatic intracranial haemorrhage (sICH) with mass effect (figure 2). A 24-hour follow-up MRI revealed large volume blood products within the supratentorial and infratentorial subarachnoid spaces and the ventricular system, consistent with oedema and haemorrhage from reperfusion therapy (figure 2).