Publication
Title
Neurovascular compression the the abducent nerve causing abducent palsy treated by microvascular decompression
Author
Abstract
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.
Language
English
Source (journal)
Journal of neurosurgery / American Association of Neurological Surgeons [Rolling Meadows, Ill.] - Rolling Meadows, Ill., 1944, currens
Publication
Rolling Meadows, Ill. : American Association of Neurological Surgeons , 2007
ISSN
0022-3085 [print]
1933-0693 [online]
DOI
10.3171/JNS-07/12/1231
Volume/pages
107 :6 (2007) , p. 1231-1234
ISI
000251520100024
Full text (Publisher's DOI)
UAntwerpen
Faculty/Department
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identifier
Creation 08.10.2008
Last edited 24.08.2024
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