伴有视觉障碍的垂体上大动脉瘤显微外科治疗。

IF 0.8 3区医学 Q4 NEUROSCIENCES

Neurology India Pub Date : 2025-07-01 Epub Date: 2025-07-24 DOI:10.4103/neurol-india.Neurol-India-D-23-00581

Batuk Diyora, Anup Purandare, Kavin Devani, Prakash Palave

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引用次数: 0

摘要

垂体上动脉动脉瘤是罕见的。有症状的垂体上动脉动脉瘤通常表现为蛛网膜下腔出血，罕见的是颅神经缺损，很少有视力障碍。考虑到线旁区的解剖结构，此类动脉瘤的显微外科治疗相当复杂。男性，43岁，双眼视力下降。患者被诊断为左侧腰线上部分血栓形成的未破裂动脉瘤，并在脑磁共振成像视交叉和视神经上有肿块效应。他接受了动脉瘤切除术夹住动脉瘤的手术。在六个月的临床随访中，右眼视力明显改善。

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Microsurgical Management of Large Superior Hypophyseal Artery Aneurysm Presented with Visual Impairment.

Superior hypophyseal artery aneurysms are rare. Symptomatic superior hypophyseal artery aneurysm commonly presents with subarachnoid hemorrhage, uncommonly with cranial nerve deficits, and very rarely with visual impairment. Microsurgical management of such aneurysms is quite complex considering the anatomical structures in the paraclinoid region. A 43-year male presented with decreased visual acuity in both eyes. The patient was diagnosed with left supraclinoid partially thrombosed unruptured aneurysm with mass effect over optic chiasm and optic nerves on magnetic resonance imaging of the brain. He underwent clipping of the aneurysm with an aneurysmectomy. At the six-month clinical follow-up, the right eye vision had significantly improved.

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来源期刊

Neurology India 医学-神经科学

CiteScore

1.60

自引率

70.40%

发文量

434

审稿时长

2 months

期刊介绍： Neurology India (ISSN 0028-3886) is Bi-monthly publication of Neurological Society of India. Neurology India, the show window of the progress of Neurological Sciences in India, has successfully completed 50 years of publication in the year 2002. ‘Neurology India’, along with the Neurological Society of India, has grown stronger with the passing of every year. The full articles of the journal are now available on internet with more than 20000 visitors in a month and the journal is indexed in MEDLINE and Index Medicus, Current Contents, Neuroscience Citation Index and EMBASE in addition to 10 other indexing avenues. This specialty journal reaches to about 2000 neurologists, neurosurgeons, neuro-psychiatrists, and others working in the fields of neurology.