Revue neurologique · 2006
[Pupil-sparing painful oculomotor neuropathy due to a carotico-cavernous aneurysm].
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Meliksetyan G, Bourdain F, Rodesch G, Condette-Auliac S, Decroix J-P, Graveleau P
Аннотация
INTRODUCTION: In third cranial nerve palsy, the lack of mydriasis evokes a noncompressive mechanism. Case report. We report a case of a slightly painful, pure extrinsic third-nerve palsy, complete except for the partial ptosis secondary to the compression by an intracavernous carotid aneurysm. Percutaneous endovascular embolization was followed by complete regression of the palsy within 4 weeks. The pupil may have been spared by the mechanism of compression after the separation of the pupillomotor and extrinsic fibers or the ischemia of the third nerve by its arterial trunk lesion.
CONCLUSION: This case report underlines that brain radiological explorations are necessary in some third-nerve pupil-sparing palsies.
CONCLUSION: This case report underlines that brain radiological explorations are necessary in some third-nerve pupil-sparing palsies.
Предметные рубрики MeSH
AgedBlepharoptosisCarotid Artery DiseasesCarotid Artery, InternalCavernous SinusCerebral AngiographyDiplopiaEmbolization, TherapeuticFemaleHumansIntracranial AneurysmIschemiaMagnetic Resonance AngiographyNerve Compression SyndromesOculomotor NerveOculomotor Nerve DiseasesPupilRemission InductionStrabismus