Foroozan Rod, Bhatti M Tariq, Rhoton Albert L
The Cullen Eye Institute, Neuro-Ophthalmology Service, Baylor College of Medicine, Houston, Texas, USA.
Surv Ophthalmol. 2004 May-Jun;49(3):349-58. doi: 10.1016/j.survophthal.2004.02.008.
A 46-year-old man developed a pupil-involving incomplete third cranial nerve palsy after undergoing transsphenoidal resection of a pituitary macroadenoma. A CT scan 1 week later revealed postoperative changes, with no new mass lesion, hemorrhage, or orbital fracture. The third cranial nerve palsy spontaneously improved over the ensuing week. Postoperative ocular motor palsy is an uncommon complication of transsphenoidal pituitary surgery. Neuro-imaging should be performed to exclude the presence of a new compressive lesion.
一名46岁男性在接受垂体大腺瘤经蝶窦切除术后出现累及瞳孔的不完全性动眼神经麻痹。1周后的CT扫描显示术后改变，无新的肿块病变、出血或眼眶骨折。在接下来的一周内，动眼神经麻痹自发改善。术后动眼神经麻痹是经蝶窦垂体手术罕见的并发症。应进行神经影像学检查以排除新的压迫性病变。
