| [Abducens Palsy due to Unruptured Aneurysms of the Internal Carotid Artery in a Patient with Systemic Lupus Erythematosus]. | |
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MedLine Citation:
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PMID: 22538285 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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We report a rare case of unruptured aneurysms in systemic lupus erythematosus (SLE). A 28-year-old female who had suffered from SLE for 5 years was admitted to our hospital because she noticed diplopia three weeks before. She presented with left abducens palsy on admission. CT scans revealed intracranial multiple calcified lesions. MRA and the cerebral angiography showed multiple saccular aneurysms from the cavernous segment to the petrous segment of the left internal carotid artery (ICA). These findings suggested that left abducens palsy was related to cranial nerve compression due to the aneurysm at the cavernous segment of the left ICA. As balloon occlusion test for 15 minutes of the left ICA with <sup>99m</sup>Tc-HMPAO SPECT was tolerable, the patient underwent the endovascular trapping of multiple aneurysms from the cavernous segment to the petrous segment of the left ICA with detachable coils. Postoperative course was uneventful and left abducens palsy fully recovered. She was discharged with no neurological deficits. This is the first report presenting left abducens palsy due to unruptured aneurysms in SLE. We summarized the previous reports of cerebral aneurysms in SLE. |
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Authors:
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Norio Ikeda; Takafumi Nishizaki; Masaru Abiko; Takanori Sakakura; Shigeki Nakano |
Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: No shinkei geka. Neurological surgery Volume: 40 ISSN: 0301-2603 ISO Abbreviation: No Shinkei Geka Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-04-27 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0377015 Medline TA: No Shinkei Geka Country: Japan |
Other Details:
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Languages: jpn Pagination: 429-35 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Ube Industries Central Hospital. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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