Joshi Stuti, Tee William Wei Han, Franconi Catherine, Prentice David
Department of Neurology, Royal Perth Hospital, Perth, Australia.
Department of Neuroradiology, Royal Perth Hospital, Perth, Australia.
J Clin Neurosci. 2017 Nov;45:136-137. doi: 10.1016/j.jocn.2017.07.006. Epub 2017 Jul 31.
Acute oculomotor nerve palsy requires urgent exclusion of aneurysmal compression. We report a 62year old man with a transient right third nerve palsy with pupillary involvement, who was found to have neurovascular compression of the cisternal oculomotor nerve as it curved over a duplicated superior cerebellar artery on high resolution MR imaging. Direct vascular compression should be considered in patients with isolated cranial neuropathies in whom other pathologies have been excluded.
急性动眼神经麻痹需要紧急排除动脉瘤压迫。我们报告了一名62岁男性，患有伴有瞳孔受累的短暂性右侧动眼神经麻痹，在高分辨率磁共振成像中发现，当脑池段动眼神经在一条重复的小脑上动脉上方弯曲时，存在神经血管压迫。对于已排除其他病变的孤立性颅神经病变患者，应考虑直接血管压迫的可能性。
