中风与神经疾病杂志2026，Vol.43Issue(8)：675-678,4.DOI:10.19845/j.cnki.zfysjjbzz.2026.0117
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
Basal ganglia hemorrhage breaking into the ventricles complicated by delayed oculomotor nerve palsy:A case report and literature review
摘要
Abstract
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.关键词
脑出血/动眼神经麻痹/头痛Key words
Intracerebral hemorrhage/Oculomotor nerve palsy/Headache分类
医药卫生引用本文复制引用
韩雅婷,何洋,于垚,郭淮莲..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[J].中风与神经疾病杂志,2026,43(8):675-678,4.基金项目
国家自然科学基金重点项目(81230023) （81230023）
