Matsumoto K, Kato A, Fujii K, Fujinaka T, Fukuhara R
Department of Neurosurgery, Hanwa Memorial Hospital, Osaka.
Neurol Med Chir (Tokyo). 1996 Aug;36(8):583-5. doi: 10.2176/nmc.36.583.
An 84-year-old female presented with bilateral giant intracavernous carotid artery aneurysms manifesting as right total ophthalmoplegia and trigeminal nerve paresis. Computed tomography and magnetic resonance imaging showed the two aneurysms as one fused mass, so the initial diagnosis was a parasellar tumor occupying the bilateral cavernous sinuses. The correct diagnosis required cerebral angiography. Considering her age, no surgical or interventional treatment was given. Eight months later, her right eye movement partially recovered and she had no further symptoms. There was no definite causative factors other than aging in this case.
一名84岁女性因双侧巨大海绵窦段颈内动脉瘤就诊，表现为右侧完全性动眼神经麻痹和三叉神经麻痹。计算机断层扫描和磁共振成像显示这两个动脉瘤为一个融合肿块，因此初步诊断为占据双侧海绵窦的鞍旁肿瘤。正确诊断需要脑血管造影。考虑到她的年龄，未给予手术或介入治疗。八个月后，她的右眼运动部分恢复，且未出现进一步症状。在这种情况下，除了衰老外没有明确的致病因素。
