Fenestrated oculomotor nerve caused by internal carotid-posterior communicating artery aneurysm: Case report
Fenestrated oculomotor nerve caused by internal carotid-posterior communicating artery aneurysm: Case report
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DOI：
10.1097/00006123-199702000-00035
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发表时间：
1997-02-01
期刊：
影响因子：
4.8
通讯作者：
Kobayashi, S
中科院分区：
文献类型：
--
作者：
Horiuchi, T;Kyoshima, K;Kobayashi, S
目的和意义：与颈内动脉后交通动脉瘤相关的开窗动眼神经非常罕见。 临床表现：一名48岁女性，有右侧大脑中动脉动脉瘤破裂导致蛛网膜下腔出血病史，术后病程包裹良好。二十年后，患者出现额部头痛，并伴有右侧轻度动眼神经麻痹。后续神经影像学研究显示右颈内动脉后交通动脉瘤是从头形成的。干预：通过右翼点入路暴露并夹闭动脉瘤。手术中证实了与动脉瘤相关的开窗动眼神经。结论：我们推测开窗很可能是由于动脉瘤的生长引起的。
OBJECTIVE AND IMPORTANCE: The fenestrated oculomotor nerve associated with the internal carotid-posterior communicating artery aneurysm is very rare.CLINICAL PRESENTATION: A 48-year-old woman had a history of subarachnoid hemorrhage caused by a ruptured right middle cerebral artery aneurysm, which was wrapped with good postoperative course. Twenty years later, the patient suffered frontal headache with a mild oculomotor nerve paresis in the right side. Follow-up neuroimaging studies demonstrated a de novo right internal carotid-posterior communicating artery aneurysm.INTERVENTION: The aneurysm was exposed and clipped via a right pterional route. The fenestrated oculomotor nerve associated with the aneurysm was confirmed at surgery.CONCLUSION: We speculated that the fenestration was most likely caused by the growth of the aneurysm.