未破裂后交通动脉瘤致动眼神经麻痹血管内治疗疗效分析  

Endovascular treatment of oculomotor nerve palsy caused by unruptured aneurysm of posterior communicating artery:an analysis of therapeutic effects

作　　者：章永强 林东[2] 胡锦清[2] 

机构地区：[1]浙江省温岭市第一人民医院神经内科,317500 [2]上海交通大学附属瑞金医院神经外科

出　　处：《介入放射学杂志》2010年第7期566-568,共3页Journal of Interventional Radiology

摘　　要：目的探讨未破裂后交通动脉瘤(PComA)致动眼神经麻痹(OMNP)血管内治疗疗效。方法对11例伴有OMNP的PComA患者的治疗时机、治疗方式与动眼神经功能恢复的关系进行分析。结果治疗后动眼神经功能全部恢复10例(90.9%),部分恢复1例(9.1%),其恢复状况与治疗时机、麻痹程度密切相关。结论血管内栓塞未破裂PComA可有效恢复其致OMNP,但神经功能的恢复取决于麻痹程度和早期手术时机。Objective To investigate the therapeutic effects of endovascular management for oculomotor nerve palsy caused by unruptured aneurysm of posterior communicating artery.Methods Endovascular treatment was carried out in 11 patients with oculomotor nerve palsy due to unruptured aneurysm of posterior communicating artery.The choice of the therapeutic opportune moment and the treatment way were retrospectively evaluated.The relationship between the therapeutic results and the treatment time and way was analyzed.Results Of the 11 patients,complete recovery of oculomotor nerve palsy was obtained in 10（90.91%） and partial recovery in one（9.09%）.Conclusion Oculomotor nerve palsy cause by unruptured aneurysm of posterior communicating artery can be effectively treated by endovascular management,and the recovery of oculomotor nerve function depends on the time to take treatment and the degree of nerve palsy.

关 键 词：颈内动脉-后交通动脉瘤 动眼神经麻痹 血管内治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]