Santillan A, Zink W E, Knopman J, Riina H A, Gobin Y P
New York Presbyterian Hospital, Cornell, New York, USA.
Interv Neuroradiol. 2010 Mar;16(1):17-21. doi: 10.1177/159101991001600102. Epub 2010 Mar 25.
Palsy of the third cranial nerve (oculomotor nerve, CNIII) is a well-known clinical presentation of posterior communicating artery (P-com) aneurysm. We report a series of 11 patients with partial or complete third nerve palsy secondary to P-com aneurysm. All were treated with endovascular embolization within seven days of symptom onset. Third nerve palsy symptoms resolved in 7/11 (64%), improved in 2/11 (18%) and did not change in 2/11 (18%) patients.
第三颅神经(动眼神经,CNIII)麻痹是后交通动脉(P-com)动脉瘤的一种常见临床表现。我们报告了一系列11例继发于P-com动脉瘤的部分或完全性第三神经麻痹患者。所有患者均在症状出现后7天内接受了血管内栓塞治疗。11例患者中,7例(64%)第三神经麻痹症状消失,2例(18%)症状改善,2例(18%)症状未改变。