Unruptured internal carotid-posterior communicating artery aneurysm splitting the oculomotor nerve: a case report and literature review.
Unruptured internal carotid-posterior communicating artery aneurysm splitting the oculomotor nerve: a case report and literature review.
复制标题
DOI：
10.1055/s-0034-1378155
复制
发表时间：
2014-08
影响因子：
0.5
通讯作者：
Yoshimine T
中科院分区：
文献类型：
--
作者：
Toyota S;Taki T;Wakayama A;Yoshimine T
目的报告1例罕见的颈内动脉-后交通动脉（IC-PC）未破裂动脉瘤夹闭术治疗眼神经分裂症，并复习文献。 病例介绍一名42岁的男子突然提出与左眼轻瘫。 三维数字减影血管造影（3D DSA）显示左侧IC-PC动脉瘤，部分隆起。在手术过程中，证实了凸出部分使眼神经分裂。采用显微外科技术将开窗眼神经从膨出部分分离后，进行颈夹闭。术后2周内眼神经麻痹症状消失。 结论即使是极罕见的眼神经异常，也要注意其可能性，术中应仔细观察和处理，以保护神经功能。
Objective To report a rare case of unruptured internal carotid-posterior communicating artery (IC-PC) aneurysm splitting the oculomotor nerve treated by clipping and to review the previously published cases. Case Presentation A 42-year-old man suddenly presented with left oculomotor paresis. Three-dimensional digital subtraction angiography (3D DSA) demonstrated a left IC-PC aneurysm with a bulging part. During surgery, it was confirmed that the bulging part split the oculomotor nerve. After the fenestrated oculomotor nerve was dissected from the bulging part with a careful microsurgical technique, neck clipping was performed. After the operation, the symptoms of oculomotor nerve paresis disappeared within 2 weeks. Conclusions We must keep in mind the possibility of an anomaly of the oculomotor nerve, including fenestration, and careful observation and manipulation should be performed to preserve the nerve function during surgery, even though it is very rare.
登录
查看更多内容
影响因子：
4.8
作者：
Horiuchi, T;Kyoshima, K;Kobayashi, S
通讯作者：
Kobayashi, S
影响因子：
4.8
作者：
Chen, Peng R.;Amin-Hanjani, Sepideh;Spetzler, Robert F.
通讯作者：
Spetzler, Robert F.
影响因子：
2.8
作者：
Bulsara, Ketan R.;Jackson, Daniel;Galvan, George M.
通讯作者：
Galvan, George M.
影响因子：
4.1
作者：
Binning, Mandy J.;Couldwell, William T.
通讯作者：
Couldwell, William T.