title: [Detection of oculomotor nerve compression by 3D-FIESTA MRI in a patient with pituitary apoplexy and diabetes mellitus].
abstract: We report the usefulness of 3D-FIESTA magnetic resonance imaging(MRI)for the detection of oculomotor nerve palsy in a case of pituitary apoplexy. A 69-year-old man with diabetes mellitus presented with complete left-side blepharoptosis. Computed tomography of the brain showed an intrasellar mass with hemorrhage. MRI demonstrated a pituitary adenoma with a cyst toward the left cavernous sinus, which was diagnosed as pituitary apoplexy. 3D-FIESTA revealed that the left oculomotor nerve was compressed by the cyst. He underwent trans-sphenoid tumor resection at 5 days after his hospitalization. Post-operative 3D-FIESTA MRI revealed decrease in compression of the left oculomotor nerve by the cyst. His left oculomotor palsy recovered completely within a few months. Oculomotor nerve palsy can occur due to various diseases, and 3D-FIESTA MRI is useful for detection of oculomotor nerve compression, especially in the field of parasellar lesions.
authors: Department of Neurosurgery, Faculty of Medical Sciences, University of Fukui.
authors: Takahiro
authors: T
authors: Yamauchi
authors: Ryuhei
authors: R
authors: Kitai
authors: Hiroyuki
authors: H
authors: Neishi
authors: Kenzo
authors: K
authors: Tsunetoshi
authors: Ken
authors: K
authors: Matsuda
authors: Hidetaka
authors: H
authors: Arishima
authors: Toshiaki
authors: T
authors: Kodera
authors: Yoshikazu
authors: Y
authors: Arai
authors: Hiroaki
authors: H
authors: Takeuchi
authors: Ken-ichiro
authors: K
authors: Kikuta
mesh_terms: D000368:Aged; D001176:Arthrogryposis / Q000209:etiology / Q000601:surgery*; D048909:Diabetes Complications; D015417:Hereditary Sensory and Motor Neuropathy / Q000209:etiology / Q000601:surgery*; D006801:Humans; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009802:Oculomotor Nerve / Q000473:pathology* / Q000601:surgery; D015840:Oculomotor Nerve Diseases / Q000175:diagnosis / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D010899:Pituitary Apoplexy / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D010911:Pituitary Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*