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Title
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Neurovascular compression the the abducent nerve causing abducent palsy treated by microvascular decompression
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Author
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Abstract
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| Isolated abducent palsy is a symptom that can be caused by many different intracranial pathological conditions. In this report the authors describe the case of a patient who suffered isolated abducent palsy resulting from vascular compression of the sixth cranial nerve; surgical treatment consisted of microvascular decompression (MVD). This 56-year-old man presented with short-lasting episodes of a pulling sensation at the lateral side of his right eye associated with intermittent diplopia, followed by a progressive palsy of the abducent nerve and constant diplopia. Magnetic resonance imaging revealed a neurovascular contact of a dolichoectatic basilar artery with the abducent nerve. The patient underwent surgery consisting of a combined supra- and infratentorial presigmoid approach and subsequent MVD of the abducent nerve. Postoperatively, the abducent nerve palsy resolved within days, and the patient remains free of symptoms with a follow-up time of 4 years. This is the first report of a neurovascular compression of the abducent nerve treated successfully by MVD. |
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Language
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English
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Source (journal)
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Journal of neurosurgery / American Association of Neurological Surgeons [Rolling Meadows, Ill.] - Rolling Meadows, Ill., 1944, currens
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Publication
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Rolling Meadows, Ill.
:
American Association of Neurological Surgeons
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2007
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ISSN
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0022-3085
[print]
1933-0693
[online]
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DOI
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10.3171/JNS-07/12/1231
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Volume/pages
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107
:6
(2007)
, p. 1231-1234
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ISI
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000251520100024
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Full text (Publisher's DOI)
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