慢性眼运动神经麻呈现从后部沟通动脉动脉瘤:一个案例系列
Alice Hung1, Wuyang Yang2, Christopher Jackson1
1Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Operative neurosurgery (Hagerstown, Md.)
|July 22, 2025
概括
建议早期治疗由后部通讯动脉动脉瘤引起的眼运动神经麻 (ONP). 虽然慢性ONP可能不表明立即破裂风险,但及时治疗可以提高功能恢复的机会.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 血管神经学 血管神经学
背景情况:
- 后沟通动脉 (PCoA) 动脉瘤通常会导致眼运动神经麻 (ONP).
- 建议及早治疗,以减少破裂风险并增强ONP恢复.
- 由于PCoA动脉瘤导致的慢性ONP的自然史仍然不清楚.
研究的目的:
- 为了研究患有由于PCoA动脉瘤引起的慢性眼运动神经麻的患者的自然史和结果.
- 评估由PCoA动脉瘤引起的ONP早期最终管理的有效性.
主要方法:
- 分析了由PCoA动脉瘤引起的亚急性至慢性ONP (≥1周) 的17名患者的病例系列.
- 数据包括基线特征,动脉瘤细节和治疗结果.
- 患者在1991年至2024年期间接受治疗.
主要成果:
- 在17名患者中,5名 (29.4%) 患有动脉瘤破裂.
- ONP的持续时间从1周到10年不等.
- 4名患者 (23.5%) 完全恢复了ONP,所有患者的症状都在5周以下.
结论:
- 由于未经治疗的PCoA动脉瘤引起的慢性ONP并不常见.
- 虽然并不总是表明即将发生破裂,但早期干预对于更好的ONP功能恢复至关重要.
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