表现为动眼神经麻痹伴瞳孔散大的巨细胞动脉炎。

Giant cell arteritis presenting as oculomotor nerve palsy with pupillary dilatation.

作者信息

Davies G E, Shakir R A

机构信息

Department of Neurology, Middlesbrough General Hospital, Cleveland, UK.

出版信息

Postgrad Med J. 1994 Apr;70(822):298-9. doi: 10.1136/pgmj.70.822.298.

DOI:10.1136/pgmj.70.822.298

PMID:8183778

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2397877/

Abstract

Acute complete oculomotor palsy with headache is a classical presentation of an extrinsic compression most commonly due to a posterior communicating artery aneurysm. We present a patient with such a presentation but with histologically proven giant cell arteritis. This possibility should be considered especially in the elderly to avoid complications and the need for angiography.

摘要

伴有头痛的急性完全性动眼神经麻痹是一种典型的外在压迫表现，最常见的原因是后交通动脉瘤。我们报告了一名有此表现但经组织学证实为巨细胞动脉炎的患者。尤其是在老年人中应考虑这种可能性，以避免并发症和血管造影的必要性。