Giombini S, Ferraresi S, Pluchino F
Divisione di Neurochirurgia, Istituto Neurologico C. Besta, Milan, Italy.
Acta Neurochir (Wien). 1991;112(1-2):19-24. doi: 10.1007/BF01402449.
Forty-nine patients with oculomotor nerve palsy due to intracranial aneurysm were examined. The reversal of third nerve palsy is related to modality of onset and surgical timing: "early" surgery (within 14 days from the onset of oculomotor palsy) promises a better prognosis for ocular function; recovery starting within the first month will probably be complete. A full recovery is probably seen only with conduction block (neuroapraxia) or minor axonal changes (axonolysis). Clinical features of third nerve palsy due to intracranial aneurysms versus other causes of oculomotor palsy are discussed.
对49例因颅内动脉瘤导致动眼神经麻痹的患者进行了检查。第三神经麻痹的恢复与发病方式和手术时机有关：“早期”手术（动眼神经麻痹发病后14天内）有望使眼功能预后更好；在第一个月内开始恢复的情况可能会完全恢复。只有传导阻滞（神经失用症）或轻微轴突改变（轴突溶解）时才可能完全恢复。本文讨论了颅内动脉瘤所致第三神经麻痹与其他动眼神经麻痹病因的临床特征。
