基底节区脑出血破入脑室合并迟发性动眼神经麻痹1例报告并文献复习OA

This article reports a case of delayed oculomotor nerve palsy after basal ganglia hemorrhage breaking into the ventricles and discusses its clinical features and possible pathogenic mechanisms,so as to provide a reference for clini-cal diagnosis and treatment.A retrospective analysis was performed for the clinical data of a male patient with intracere-bral hemorrhage aged 57 years,including medical history,physical examination,imaging examination,diagnosis,and treatment,and the possible pathogenic mechanisms were analyzed with reference to related articles in China and globally.Head computed tomography angiography showed no signs of aneurysm.The patient achieved absorption of intracerebral hemorrhage after treatment and complete resolution of blepharoptosis and recovery of eye movement at 2 months after dis-charge.Delayed oculomotor nerve palsy may occur after intracerebral hemorrhage breaking into the ventricles,and its pathogenesis may be associated with factors such as nerve compression caused by organization and contraction of intraven-tricular blood clots and vasospasm.Conservative treatment may help to achieve a good prognosis.This case can provide a reference for clinical practice.