动眼神经麻痹脑血管造影检查14例分析

    Angiography and clinical analysis of 14 cases with oculomotor paralyses

    • 摘要: 目的:分析动眼神经麻痹患者的脑血管造影结果,探讨引起动眼神经麻痹的病因。方法:对14例动眼神经麻痹患者的脑血管造影结果进行分析。结果:14例动眼神经麻痹患者脑血管造影发现颅内动脉瘤11例,其中前交通动脉瘤1例,后交通动脉瘤10例;硬脑膜动静脉瘘1例;无明显异常2例,其中1例有糖尿病史10年,确诊为糖尿病性眼肌麻痹,另1例行头颅MRI检查诊断为垂体腺瘤。结论:动眼神经麻痹的病因较多,动脉瘤是最常见的原因,尤其是伴蛛网膜下腔出血的动眼神经麻痹患者应及早行必要的检查;硬脑膜动静脉瘘、糖尿病和垂体瘤也是致病原因。

       

      Abstract: Objective: To analyze the brain angiography results and causes of the cases with oculomotor paralyses.Methods: The brain angiography results of 14 cases with oculomotor paralyses were analyzed.Results: Aneurysms was found in 11 of the 14 cases of angiography,1 of which was anterior communicating aneurysms,10 were posterior communicating aneurysms;the one case had dural arteriovenous fistula.Two case were not found unnomal.One case that had a history of diabetes for 10 years was diagnosed diabetes-associated oculomotor paralyses,and 1 was diagnosed as pituitary adenoma by MRI.Conclusions: The causes of oculomotor paralyses are varied,with aneurysm the most common one.Patients with coulometer paralyses accompanied by subarachnoid hemorrhage should resort to routine examination.Subarachnoid hemorrhage,diabetes,arteriovenous fistula and hypophysoma are the other causes leading to oculomotor paralyses.

       

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