BILATERAL 3RD CRANIAL NERVE PALSIES IN ASSOCIATION WITH A RUPTURED ANTERIOR COMMUNICATING ARTERY ANEURYSM

被引：13

作者：

COYNE, TJ ^{[1
]}

WALLACE, MC ^{[1
]}

机构：

[1] UNIV TORONTO,TORONTO,ON,CANADA

来源：

SURGICAL NEUROLOGY | 1994年 / 42卷 / 01期

关键词：

ANEURYSM; OCULOMOTOR NERVE PALSY; RAISED INTRACRANIAL PRESSURE;

D O I：

10.1016/0090-3019(94)90250-X

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Third cranial nerve palsy occurring in a patient with an intracranial aneurysm is typically unilateral and associated with an internal carotid-posterior communicating or distal basilar artery aneurysm. In this report a patient with bilateral third cranial nerve palsies associated with rupture of an anterior communicating artery aneurysm is described. Raised intracranial pressure without brain herniation and compression of the third nerves within the perimesencephalic cisterns by focal subarachnoid clot are suggested as possible underlying mechanisms of the palsies, which showed complete recovery at 4 months after the hemorrhage and subsequent early aneurysm repair.

引用

页码：52 / 56

页数：5

共 16 条

[1] OCULOMOTOR PALSY DUE TO SUPRACLINOID INTERNAL CAROTID ARTERY BERRY ANEURYSM - A LONG TERM STUDY OF RESULTS OF SURGICAL TREATMENTS ON RECOVERY OF THIRD NERVE FUNCTION [J].