Oculomotor palsy treated by microvascular decompression
Oculomotor palsy treated by microvascular decompression
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DOI：
10.1016/j.surneu.2007.04.001
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发表时间：
2008-08-01
影响因子：
--
通讯作者：
Matsumura, Akira
中科院分区：
文献类型：
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作者：
Suzuki, Kensuke;Muroi, Ai;Matsumura, Akira
背景：动眼性麻痹通常是由糖尿病、动脉瘤压迫或海绵窦病变引起的。只有少数报告指出动脉压迫是动眼性麻痹的原因。病例描述：我们为一位76岁的左动眼肌麻痹患者进行了手术治疗。在手术夹闭左侧IC-PC动脉瘤时，很明显左侧IC-PC动脉瘤没有压迫第三颅神经。左动眼神经被夹在动脉硬化PCA和SCA之间。微血管减压术后，动眼神经麻痹得到改善。结论：动脉硬化性PCA和SCA可压迫动眼神经。微血管减压对这种类型的动眼性麻痹是有效的。(C) 2008爱思唯尔公司版权所有。
Background: Oculomotor palsy is well known to be due to diabetes mellitus, or aneurysmal compression, or cavernous sinus lesion. Only few reports presented that arterial compression was the reason for oculomotor palsy.Case Description: We performed a surgical treatment for a 76-year-old man with left oculomotor palsy. During surgical clipping of the left IC-PC aneurysm, it became clear that the left IC-PC aneurysm had not been compressing the third cranial nerve. The left oculomotor nerve was being pinched between the arteriosclerotic PCA and the SCA. Microvascular decompression was carried out, and the oculomotor nerve palsy improved.Conclusion: Arteriosclerotic PCA and SCA may compress the oculomotor nerve. Microvascular decompression is effective in this type of oculomotor palsy. (C) 2008 Elsevier Inc. All rights reserved.