Part A courtesy of Steven A. Newman, MD; part B courtesy of Leo Hochhauser, MD.
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Neuro-Ophthalmology/Orbit
Complete third nerve palsy. This 62-year-old woman reported experiencing “the worst headache of my life.” A, Examination revealed complete ptosis on the right; a nonreactive, dilated pupil; and severely limited extraocular movement except for abduction. B, Lateral view of a cerebral angiogram demonstrated a posterior communicating artery aneurysm (arrow).