Wolin M J, Saunders R A
Department of Ophthalmology, University of South Carolina School of Medicine, Columbia 29203.
J Clin Neuroophthalmol. 1992 Sep;12(3):178-80.
Cerebral aneurysms are rare in children. When they occur, they usually present with a history of subarachnoid hemorrhage. Gabianelli et al. (1) recently reported a 14-year-old girl with an isolated oculomotor nerve palsy due to aneurysm. In their discussion, they state that arteriography is, "Unnecessary in patients under 10 (years of age) if the symptoms and signs of subarachnoid hemorrhage are absent or high resolution computerized tomography scan or adequate magnetic resonance imaging scan is normal." To date, their patient is the youngest reported in the literature with an isolated oculomotor nerve palsy proved to be caused by cerebral aneurysm. We report herein an 11-year-old boy who presented with an oculomotor nerve palsy due to aneurysm with minimal preceding symptoms and no other signs of intracranial disease.
儿童脑动脉瘤较为罕见。当其发生时，通常表现为蛛网膜下腔出血病史。加比亚内利等人（1）最近报道了一名14岁女孩，因动脉瘤导致孤立性动眼神经麻痹。在他们的讨论中，他们指出，“对于10岁以下（年龄）且无蛛网膜下腔出血症状和体征或高分辨率计算机断层扫描或充分的磁共振成像扫描正常的患者，血管造影不必要。”迄今为止，他们的患者是文献报道中因脑动脉瘤导致孤立性动眼神经麻痹的最年轻患者。我们在此报告一名11岁男孩，他因动脉瘤出现动眼神经麻痹，前驱症状轻微且无其他颅内疾病体征。
