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내경동맥박리 및 이차 협착에 의한 급성 뇌경색 환자에서 혈관재개통 시술 후 발생한 눈돌림신경마비

Oculomotor Nerve Palsy that Developed after Endovascular Treatment in an Acute Stroke Patient with a Dissecting Occlusion of the Extracranial Internal Carotid Artery

대한신경과학회지 2020년 38권 2호 p.116 ~ 119
김중구 ( Kim Joong-Goo ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology

강철후 ( Kang Chul-Hoo ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology
최재철 ( Choi Jay-Chol ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology
오중환 ( Oh Jung-Hwan ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology
이정석 ( Lee Jung-Seok ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology
강사윤 ( Kang Sa-Yoon ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology
송숙근 ( Song Sook-Keun ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology
강지훈 ( Kang Ji-Hoon ) - Jeju National University School of Medicine Jeju National University Hospital Department of Neurology

Abstract


Oculomotor nerve palsy is underrecognized clinical manifestation of extracranial internal carotid artery (ICA) dissection.
Herein we report a case of complete oculomotor nerve palsy following endovascular revascularization, which developed in a patient with acute stroke due to extracranial ICA dissecting occlusion. We also discuss about the development mechanism of oculomotor nerve palsy, considering the vascular anatomy and the possibility of periprocedural complications during endovascular treatment.

키워드

Dissection; Carotid arteries; Oculomotor nerve paralysis
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