The Telltale Botox: Botulinum Toxin Injection by an Expert Hand as an Intracranial Aneurysm Detector

We present a case of a 48-year-old patient who, following botulinum toxin type A (Botox) injection for treatment of forehead wrinkles, returned to our attention 12 days later for a discrete, newly onset right eyelid ptosis. This ptosis was a telltale sign of the presence of an intracranial aneurysm closely related with the oculomotor nerve. The lack of compensatory action by the frontalis muscle in maintaining the eyelid in position allowed us to highlight the extrinsic compression deficit of the oculomotor nerve. Subsequently, the patient underwent endovascular treatment of the aneurysm, leading to complete resolution of the case.PMID:38093722 | PMC:PMC10718318 | DOI:10.1097/GOX.0000000000005452

Source: Hand Surgery - December 14, 2023 Category: Surgery Authors: Giorgio Caddia Giulio J Jaber Francesca Granata Karol Galletta Antonio Pitrone Paolino La Spina Ferdinando Stagno d'Alcontres Francesco Stagno d'Alcontres Source Type: research