孤立性疼痛性动眼神经麻痹。

Isolated painful third nerve palsy.

作者信息

Tumialán Luis M, Hudgins Patricia, Biousse Valérie

机构信息

Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA.

出版信息

Rev Neurol Dis. 2006 Winter;3(1):31-4.

PMID:16596085

Abstract

A 50-year-old woman presented with an acute painful complete third nerve palsy involving the pupil. Noninvasive imaging ruled out an aneurysmal compression of the third nerve, and brain magnetic resonance imaging demonstrated an intrinsic lesion of the third nerve. Work-up remained negative. All symptoms and signs resolved with steroids. In this case review, we briefly discuss the management of isolated third nerve palsies.

摘要

一名50岁女性出现急性疼痛性完全性动眼神经麻痹，累及瞳孔。无创影像学检查排除了动眼神经的动脉瘤压迫，脑部磁共振成像显示动眼神经有原发性病变。进一步检查结果均为阴性。使用类固醇治疗后，所有症状和体征均消失。在本病例报告中，我们简要讨论孤立性动眼神经麻痹的治疗。