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后交通动脉瘤血管内治疗后动眼神经麻痹的早期恢复

Early resolution of third nerve palsy following endovascular treatment of a posterior communicating artery aneurysm.

作者信息

Inamasu Joji, Nakamura Yoshiki, Saito Ryoichi, Kuroshima Yoshiaki, Ohba Shigeo, Ichikizaki Kiyoshi

机构信息

The Department of Neurosurgery, National Tokyo Medical Center, Higashigaoka 2-5-1, Meguro-ku, Tokyo 152-8902, Japan.

出版信息

J Neuroophthalmol. 2002 Mar;22(1):12-4. doi: 10.1097/00041327-200203000-00004.

DOI:10.1097/00041327-200203000-00004
PMID:11937899
Abstract

A 69-year-old man underwent successful endovascular treatment of a posterior communicating artery aneurysm that had caused a third nerve palsy. Pupil size became normal within 10 days and ptosis and ocular ductions became normal within 3 weeks of the procedure. Based on the reported recovery rates of third nerve palsy after aneurysmal clipping, recovery may occur more rapidly in patients who undergo endovascular treatment. Further data are necessary to substantiate this hypothesis.

摘要

一名69岁男性成功接受了后交通动脉瘤的血管内治疗,该动脉瘤导致了动眼神经麻痹。术后10天内瞳孔大小恢复正常,上睑下垂和眼球运动在3周内恢复正常。根据报道的动脉瘤夹闭术后动眼神经麻痹的恢复率,接受血管内治疗的患者恢复可能更快。需要更多数据来证实这一假设。

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