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Case 28 

Case 28
Chapter:
Case 28
Author(s):

Harutomo Hasegawa

, Matthew Crocker

, and Pawan Singh Minhas

DOI:
10.1093/med/9780199599837.003.0028
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date: 25 August 2019

A 65-year-old woman presented to the neurosurgical clinic with a 2-week history of worsening left retro-orbital headache and double vision. On examination she had a left sixth nerve palsy. Seven years previously she had a similar presentation and was diagnosed to have a 15mm left carotico-ophthalmic aneurysm which was coiled at the time. On initial follow-up this had been stable with a small residual neck, but she had not been reviewed for the last 4 years.

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