Sano H, Jain V K, Kato Y, Kamei Y, Asai T, Katada K, Kanno T
Department of Neurosurgery, Fujita-Gakuen Health University, Aichi, Japan.
Surg Neurol. 1988 Jan;29(1):35-8. doi: 10.1016/0090-3019(88)90121-8.
We report a case of bilateral intracavernous giant aneurysms of which the right side was clipped by direct surgery. Our case was a 74-year-old woman who developed bilateral abducens palsy. Computed tomography and angiography showed bilateral intracavernous giant aneurysms. This patient was followed up in the outpatient clinic. She developed headache and right trigeminal neuralgia 2 years later. The trigeminal pain was quite severe and very disturbing to her. Repeat angiography showed an increase in the size of the aneurysms. An operation was carried out after a balloon Matus test monitoring electroencephalogram, somatosensory evoked potential, and clinical symptoms. The cavernous sinus was opened and the aneurysm was clipped. There was no postoperative complication except right ophthalmoplegia which resolved after 3 months. Headache and trigeminal neuralgia also disappeared.
我们报告一例双侧海绵窦巨大动脉瘤病例，其中右侧通过直接手术夹闭。我们的病例是一名74岁女性，出现双侧展神经麻痹。计算机断层扫描和血管造影显示双侧海绵窦巨大动脉瘤。该患者在门诊接受随访。2年后她出现头痛和右侧三叉神经痛。三叉神经痛非常严重，对她造成很大困扰。重复血管造影显示动脉瘤大小增加。在进行球囊马图斯试验监测脑电图、体感诱发电位和临床症状后进行了手术。打开海绵窦并夹闭动脉瘤。术后除右侧眼肌麻痹外无并发症，右侧眼肌麻痹在3个月后恢复。头痛和三叉神经痛也消失了。
