眼动神经麻后流量转换器治疗的帕拉克林诺状动脉瘤:病例报告和文献综述
Ayuho Higaki1,2, Katsunari Namba2
1Department of Neurosurgery, Haga Red Cross Hospital, Moka, Tochigi, Japan.
Journal of neuroendovascular therapy
|October 15, 2025
概括
对类动脉瘤的流量转移器治疗可以导致暂时的眼运动神经麻,这是一个罕见的并发症. 这一案例凸显了认识到这种潜在的副作用的重要性,即使在小动脉瘤中也是如此.
科学领域:
- 神经学 神经学
- 干预性神经放射学 干预性神经放射学
- 血管外科 血管外科
背景情况:
- 流量转移器的放置是内动脉瘤的常见治疗方法.
- 在眼动脉附近放置流量转移器的一个已知的风险是视力受损.
- 眼运动神经麻不是常见的并发症,特别是对于小状动脉瘤.
研究的目的:
- 报告一例短暂的眼运动神经麻后流量转移器治疗小状动脉瘤.
- 为了提高人们对这种潜在并发症的认识.
主要方法:
- 一名57岁的女性患有两个状动脉瘤,接受了流量转移器治疗.
- 对眼运动神经麻的术后症状进行了监测.
- 进行了随访血管造影.
主要成果:
- 患者在术后第5天出现了节瞳孔的眼运动神经麻.
- 症状在三个月内完全消失,经过保守的治疗.
- 血管造影证实了动脉瘤治疗的成功.
结论:
- 眼运动神经麻可能是流量转移器治疗的未被认可的并发症.
- 这种并发症可能是由于流量转移器覆盖了供给头骨神经的小动脉.
- 对发生率和机制进行进一步调查是有必要的.
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