66 year old male known case of T2DM presented with complain of drooping of left side of eyelid and double vision for 1month. On examination he had ptosis of left eye and left eyeball rotated towards lateral angle with pupillary dilatation. Patients diabetes was under control. On MRI brain and MR angiography it was found that on left side there was an aberrant arterial branch from left posterior cerebral artery which was compressing left occulomotor nerve

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