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目的:探讨颅内动脉瘤部位与眼部症状的关系,来提高对本病的诊断水平。方法:回顾性分析2006年1月～2011年1月我院收治的92例颅内动脉瘤患者的临床资料。结果:有眼部症状者28例,包括颅神经麻痹、视力下降、复视、视神经萎缩、视野缺损等。颅内动脉瘤分布其中后交通动脉25例,颈内动脉22例,前交通动脉16例,大脑中动脉13例,眼动脉4例,大脑前动脉3例,余为其他部位。累及的颅内神经中,动眼神经24例,视神经9例,外展神经8例,三叉神经2例。结论:颅内动脉瘤可以累及颅神经引起眼部症状,对可疑病例应尽早行CTA,MRA或DSA检查。
Objective: To investigate the relationship between intracranial aneurysms and ocular symptoms to improve the diagnosis of this disease. Methods: The clinical data of 92 patients with intracranial aneurysm treated in our hospital from January 2006 to January 2011 were analyzed retrospectively. Results: There were 28 cases of ocular symptoms, including cranial nerve palsy, decreased vision, diplopia, optic atrophy, visual field defects. The distribution of intracranial aneurysms in which 25 cases of posterior communicating artery, 22 cases of internal carotid artery, anterior communicating artery in 16 cases, 13 cases of middle cerebral artery, 4 cases of ophthalmic artery, anterior cerebral artery in 3 cases, the rest for other parts. Among the intracranial nerves involved, 24 were oculomotor nerves, 9 optic nerves, 8 abducens and 2 trigeminal nerves. Conclusion: Intracranial aneurysms can affect the cranial nerves caused by ocular symptoms, suspected cases of CTA, MRA or DSA as soon as possible.