Oculomotor nerve cavernous malformation: case report and operative video

期刊论文
发表日期：

2024年1月16日

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Youssef M. Zohdy,
Nealen G. Laxpati,
Alejandra Rodas,
Brian M. Howard,
Gustavo Pradilla,
Tomas Garzon-Muvdi

摘要

Background

Cavernous malformations (CMs) are clusters of thin-walled sinusoidal vessels without well-defined walls. Though they can occur anywhere in the neuroaxis, cranial nerve (CN) CMs are rare.

Method

We report a 47-year-old male with gradual CN III palsy. Initial imaging showed no significant findings, but a follow-up MRI revealed a growing lesion along CN III. Intraoperative findings confirmed a CN III CM. Diagnosing and treating CN III CM are complex. Radiological findings lack specificity, requiring consideration of various diagnoses for patients with isolated CN III palsy and abnormal radiological findings.

Conclusion

Surgery is the gold standard, aiming for complete lesion removal while minimizing neurological complications.