Terry J E, Stout T
Department of Veterans Affairs Medical Center Eye Clinic, Huntington, WV.
J Am Optom Assoc. 1990 Aug;61(8):640-5.
A patient presenting with a left pupil-sparing oculomotor palsy and periorbital pain was subsequently found to have a giant saccular aneurysm of the right internal carotid artery within the cavernous sinus. The aneurysm was of the contralateral artery compared to the side of all presenting neuro-ophthalmic signs and symptoms. Diagnosis was achieved by bilateral carotid arteriography and surgical treatment with a Crutchfield arterial clamp and bypass graft has returned the patient essentially to normalcy.
一名表现为左侧瞳孔保留动眼神经麻痹和眶周疼痛的患者，随后被发现海绵窦内右侧颈内动脉有一个巨大囊状动脉瘤。该动脉瘤位于与所有出现的神经眼科体征和症状相反侧的动脉。通过双侧颈动脉造影术确诊，采用克氏动脉夹和搭桥移植术进行手术治疗，使患者基本恢复正常。
