动眼神经的神经血管压迫伴异常再支配。
Neurovascular compression of the oculomotor nerve presenting with aberrant reinnervation.
作者信息
Maher Mary, Adams Carolina, Moonis Gul, Brooks Steven E
机构信息
Department of Radiology, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, United States.
Department of Ophthalmology, Columbia University Irving Medical Center, 635 West 165 Street, New York, NY, United States.
出版信息
Am J Ophthalmol Case Rep. 2020 Oct 13;21:100972. doi: 10.1016/j.ajoc.2020.100972. eCollection 2021 Mar.
PURPOSE
To report a case of neurovascular compression in a patient presenting with ophthalmic evidence of aberrant reinnervation.
OBSERVATION
A 68-year-old woman diagnosed with right partial third nerve palsy with aberrant regeneration. Suspicion was based on isolated clinical features of the right eye, including ptosis, upper eyelid elevation on adduction, mydriasis, exotropia, and hypotropia. Magnetic resonance imaging revealed atrophy of the right oculomotor nerve secondary to neurovascular compression from a prominent right superior cerebellar artery.
CONCLUSION AND IMPORTANCE
This case highlights the importance of utilizing Fast Imaging Employing Steady-state Acquisition (FIESTA) for the diagnosis of oculomotor nerve palsy presenting with evidence of aberrant reinnervation.
目的
报告一例出现异常神经再支配眼部证据的患者的神经血管压迫情况。
观察结果
一名68岁女性被诊断为右侧部分动眼神经麻痹伴异常再生。怀疑基于右眼的孤立临床特征，包括上睑下垂、内收时上睑上抬、瞳孔散大、外斜视和下斜视。磁共振成像显示右侧动眼神经萎缩，继发于来自右侧小脑上动脉突出导致的神经血管压迫。
结论及重要性
本病例强调了利用稳态采集快速成像（FIESTA）诊断出现异常神经再支配证据的动眼神经麻痹的重要性。
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