Park Gwangtae, Kim Jonghoon, Chang Chulhoon, Jung Youngjin
Department of Neurosurgery, Yeungnam University Medical Center and College of Medicine, Daegu, Korea.
J Cerebrovasc Endovasc Neurosurg. 2021 Mar;23(1):35-40. doi: 10.7461/jcen.2021.E2020.06.002. Epub 2021 Jan 26.
Cavernous sinus (CS) lesion is hard to access by surgical approach. With the development of endovascular technique, neurointerventional therapy is an alternative modality for CS lesions. This endovascular technique has been widely used for the past decade, avoiding the risks associated with surgical treatment. However, complications can still arise from coil embolization. Although immediate complication associate with embolic event or mass effect has been well described, but delayed (>1 year from treatment) nerve palsy after coil embolization is rare. We report two cases of delayed cranial nerve palsy after successful endovascular coil embolization in CS lesion.
海绵窦(CS)病变难以通过手术途径进行处理。随着血管内技术的发展,神经介入治疗是CS病变的一种替代治疗方式。在过去十年中,这种血管内技术已被广泛应用,避免了与手术治疗相关的风险。然而,弹簧圈栓塞仍可能引发并发症。尽管与栓塞事件或占位效应相关的即刻并发症已有详细描述,但弹簧圈栓塞后延迟性(治疗后>1年)神经麻痹却较为罕见。我们报告了两例CS病变血管内弹簧圈栓塞成功后出现延迟性脑神经麻痹的病例。