Abducent nerve palsy treated by microvascular decompression: a case report and review of the literature.

Abstract:

: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.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Yamazaki T,Yamamoto T,Hatayama T,Zaboronok A,Ishikawa E,Akutsu H,Matsuda M,Kato N,Matsumura A

doi

10.1007/s00701-015-2530-5

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

1801-5

issue

10

eissn

0001-6268

issn

0942-0940

pii

10.1007/s00701-015-2530-5

journal_volume

157

pub_type

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