Ptosis as Partial Oculomotor Nerve Palsy Due to Compression by Infundibular Dilatation of Posterior Communicating Artery, Visualized with Three-Dimensional Computer Graphics: Case Report
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概要
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Oculomotor nerve palsy (ONP) due to internal carotid-posterior communicating artery (PcomA) aneurysm generally manifests as partial nerve palsy including pupillary dysfunction. In contrast, infundibular dilatation (ID) of the PcomA has no pathogenic significance, and mechanical compression of the cranial nerve is extremely rare. We describe a 60-year-old woman who presented with progressive ptosis due to mechanical compression of the oculomotor nerve by an ID of the PcomA. Three-dimensional computer graphics (3DCG) accurately visualized the mechanical compression by the ID, and her ptosis was improved after clipping of the ID. ID of the PcomA may cause ONP by mechanical compression and is treatable surgically. 3DCG are effective for the diagnosis and preoperative simulation.
- 社団法人 日本脳神経外科学会の論文
著者
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Saito Nobuhito
Department Of Neurosurgery Faculty Of Medicine Tokyo University
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Saito Kuniaki
Department Of Informative Clinical Medicine Gifu University Graduate School Of Medicine
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Nakatomi Hirofumi
Department of Neurosurgery, Graduate School of Medicine, The University of Tokyo, Japan
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Imai Hideaki
Department of Applied Chemistry, Faculty of Engineering, Nagoya University
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YOSHINO Masanori
Department of Neurosurgery, The University of Tokyo Hospital
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FUKUSHIMA Yuta
Department of Neurosurgery, The University of Tokyo Hospital
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KIN Taichi
Department of Neurosurgery, The University of Tokyo Hospital
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TAKASAGO Megumi
Department of Neurosurgery, The University of Tokyo Hospital
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