Complications in aesthetic medecine can be considered a consequence of the inexperience of the performing physician, but in some cases, they can unveil far more serious conditions, hitherto silent. We present a case of a 48-year-old patient who, following botulinum toxin typeA (Botox) injection for treatment of forehead wrinkles, returned to our attention 12 days later for a discrete, newly onset right ptosis. This ptosis was teltale sign of the presence of an intracranial aneurysm closely related with the oculomotor nerve . The lack of conpensatory action by frontalis muscle in maintaning eyelid 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 .
The Telltale botox: Botulinum Toxin Injetion by an Expert Hand as an Intracranial Aneurysm Detector
Caddia G.;Jaber G. J.;Granata F.;Galletta K.;
2023-01-01
Abstract
Complications in aesthetic medecine can be considered a consequence of the inexperience of the performing physician, but in some cases, they can unveil far more serious conditions, hitherto silent. We present a case of a 48-year-old patient who, following botulinum toxin typeA (Botox) injection for treatment of forehead wrinkles, returned to our attention 12 days later for a discrete, newly onset right ptosis. This ptosis was teltale sign of the presence of an intracranial aneurysm closely related with the oculomotor nerve . The lack of conpensatory action by frontalis muscle in maintaning eyelid 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 .Pubblicazioni consigliate
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