Nerve compressed by aneurysm of posterior communicating aery is
**Core Concept**
The posterior communicating artery (PCoA) is a blood vessel that connects the internal carotid artery and the posterior cerebral artery. Compression of this artery can lead to compression of nearby structures, including cranial nerves. In this case, the aneurysm of the PCoA is compressing a specific cranial nerve.
**Why the Correct Answer is Right**
The oculomotor nerve (CN III) is the third cranial nerve and is responsible for controlling several eye movements, including adduction, depression, and pupillary constriction. The oculomotor nerve passes near the posterior communicating artery, making it susceptible to compression by an aneurysm of this artery. The compression of the oculomotor nerve can lead to symptoms such as ptosis (drooping eyelid), diplopia (double vision), and pupillary dilation.
**Why Each Wrong Option is Incorrect**
**Option B:** The optic nerve (CN II) is responsible for transmitting visual information from the retina to the brain. It is not located near the posterior communicating artery and is therefore not compressed by an aneurysm of this artery.
**Option C:** The hypophysis cerebri (pituitary gland) is a small endocrine gland located at the base of the brain. While it is located near the posterior communicating artery, it is not compressed by an aneurysm of this artery.
**Option D:** The trochlear nerve (CN IV) is the fourth cranial nerve and is responsible for controlling the superior oblique muscle of the eye. It is not located near the posterior communicating artery and is therefore not compressed by an aneurysm of this artery.
**Clinical Pearl / High-Yield Fact**
The oculomotor nerve is a common site for compression by aneurysms of the posterior communicating artery, and this can lead to a range of symptoms, including ptosis, diplopia, and pupillary dilation. It is essential to suspect an aneurysm of the PCoA in patients with these symptoms, particularly if they have a history of hypertension or other vascular risk factors.
**β Correct Answer: A. Occulomotor nerve**