Singh Sharma Manish, Singh Narang Karanjit, Shankar Sharma Bhawani
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Acta Neurochir (Wien). 2009 Aug;151(8):999-1000; discussion 1000. doi: 10.1007/s00701-009-0337-y. Epub 2009 May 16.
The authors report the unique occurrence of an isolated post-ictal contralateral oculomotor nerve (OCN) palsy following excision of a medial frontal oligoastrocytoma. A 45-year-old male presented with a history of generalized tonic clonic seizures (GTCS) for 8 years. His neurological examination was unremarkable. Magnetic resonance imaging (MRI) of the brain revealed a left frontopolar low grade glioma. Nine hours after an uneventful near total microsurgical excision, the patient had a GTCS, following which he was noted to have an isolated right-sided OCN palsy. The immediate post-ictal computed tomographic scan and magnetic resonance images acquired 2 weeks after surgery failed to reveal any abnormality. The palsy had recovered completely by the 9-month follow-up.
作者报告了1例在额叶内侧少突星形细胞瘤切除术后出现孤立性发作后对侧动眼神经（OCN）麻痹的罕见病例。一名45岁男性，有8年全面强直阵挛发作（GTCS）病史。其神经系统检查无异常。脑部磁共振成像（MRI）显示左额极低度胶质瘤。在一次顺利的近全显微手术切除9小时后，患者发生GTCS，随后被发现有孤立性右侧OCN麻痹。术后即刻计算机断层扫描以及术后2周获得的磁共振图像均未显示任何异常。至9个月随访时，麻痹已完全恢复。
