颅内动脉瘤与动眼神经麻痹所致复视：术前及术后研究
Intracranial aneurysm and diplopia due to oculomotor nerve palsy: pre- and post-operative study.
作者信息
Arrico L, Giannotti R, Ganino C, Lenzi T, Malagola R
机构信息
Department of Sense Organs, Ist. Faculty of Medicine, "Sapienza" University of Rome, Italy.
出版信息
Clin Ter. 2014;165(4):e258-62. doi: 10.7417/CT.2014.1740.
PURPOSE
The aim of this study was to analyze ocular signs and symptoms in patients with oculomotor nerve palsy due to compression exerted by an intracranial aneurysm. We compare the results of two surgical treatments (microsurgical clipping against endovascular embolisation) in relation with the size of the aneurysm and the time between diagnosis and therapeutical approach.
MATERIALS AND METHODS
The study involved 16 patients. Each patient underwent an ophthalmological evaluation at the baseline and immediately, 6 months and 1 year after surgery, including the study of eyelid ptosis, ocular motility, pupil function, non-concomitant strabismus, diplopia and visual acuity.
RESULTS
The best recovery was seen in the patients undergoing aneurysm clipping. Palpebral ptosis was the first sign to appear and the first to regress, followed by pupil and medial rectus function. Recovery of the other muscles was slower and often incomplete.
CONCLUSIONS
Ophthalmological examination is essential for the correct treatment and follow-up of patients with intracranial aneurysms.
目的
本研究旨在分析因颅内动脉瘤压迫导致动眼神经麻痹患者的眼部体征和症状。我们比较了两种手术治疗方法（显微手术夹闭与血管内栓塞）的结果，这些结果与动脉瘤大小以及诊断与治疗方法之间的时间有关。
材料与方法
该研究纳入了16例患者。每位患者在基线时以及术后即刻、6个月和1年时均接受了眼科评估，包括上睑下垂、眼球运动、瞳孔功能、非共同性斜视、复视和视力的检查。
结果
接受动脉瘤夹闭的患者恢复情况最佳。睑下垂是最早出现且最早消退的体征，其次是瞳孔和内直肌功能。其他肌肉的恢复较慢且往往不完全。
结论
眼科检查对于颅内动脉瘤患者的正确治疗和随访至关重要。
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