Mehkri I A, Awner S, Olitsky S E, Dias M S, Elmer T R
Department of Ophthalmology, Children's Hospital of Buffalo, State University of New York at Buffalo, 14222, USA.
Surv Ophthalmol. 1999 Jul-Aug;44(1):45-51; discussion 51-2. doi: 10.1016/s0039-6257(99)00061-2.
A 10-year-old boy presented with a complete left oculomotor cranial nerve palsy. Diagnostic evaluation, including neuroimaging and cerebral angiography revealed a small intracranial aneurysm compressing the third nerve. Neurosurgical clipping of the aneurysm produced resolution of the third nerve palsy. The rarity of this presentation in a young patient is discussed, along with the importance of rapid diagnosis and treatment.
一名10岁男孩出现左侧动眼神经完全性麻痹。包括神经影像学和脑血管造影在内的诊断评估显示,一个小的颅内动脉瘤压迫第三神经。对该动脉瘤进行神经外科夹闭术后,第三神经麻痹症状得以缓解。文中讨论了这种情况在年轻患者中出现的罕见性,以及快速诊断和治疗的重要性。