Abducent nerve palsy treated by microvascular decompression: a case report and review of the literature.
Too few cases of isolated abducent nerve palsy caused by neurovascular compression syndrome have been reported. We here report on a case of abducent nerve palsy caused by neurovascular compression syndrome that was successfully treated by microvascular decompression (MVD). A 46-year-old male presented with a 6-month history of right-sided persistent abducent nerve palsy. High-resolution magnetic resonance imaging revealed a neurovascular contact of the vertebral artery with the right abducent nerve. MVD was performed via a retrosigmoid craniotomy, with remarkable improvement of the palsy. Our report suggests that MVD might be considered as an optional treatment if the symptoms progress or persist.
Department of Neurosurgery, National Hospital Organization, Mito Medical Center, Mito, Ibaraki, Japan.|Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan.
Tomosato
T
Yamazaki
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan. yamamoto_neurosurg@md.tsukuba.ac.jp.
Tetsuya
T
Yamamoto
Department of Neurosurgery, Mito Brain Heart Center, Mito, Ibaraki, Japan.
Toru
T
Hatayama
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan.
Alexander
A
Zaboronok
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan.
Eiichi
E
Ishikawa
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan.
Hiroyoshi
H
Akutsu
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan.
Masahide
M
Matsuda
Department of Neurosurgery, National Hospital Organization, Mito Medical Center, Mito, Ibaraki, Japan.
Noriyuki
N
Kato
Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tennodai 1-1-1, Tsukuba, Ibaraki, 305-8575, Japan.
Akira
A
Matsumura
D020434:Abducens Nerve Diseases / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D061145:Microvascular Decompression Surgery; D008875:Middle Aged
Abducent nerve palsy; Microvascular decompression; Neurovascular compression syndrome; Retrosigmoid approach