Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 7138-7146
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7138
Microvascular decompression for a patient with oculomotor palsy caused by posterior cerebral artery compression: A case report and literature review
Jian Zhang, Zheng-Jun Wei, Hang Wang, Yan-Bing Yu, Hong-Tao Sun
Jian Zhang, Zheng-Jun Wei, Hang Wang, Hong-Tao Sun, Tianjin Key Laboratory of Neurotrauma Repair, Institute of Traumatic Brain Injury and Neuroscience, Characteristic Medical Center of Chinese People’s Armed Police Force, Tianjin 300162, China
Yan-Bing Yu, Department of Neurosurgery, China-Japan Friendship Hospital, Beijing 100069, China
Author contributions: Wei ZJ and Zhang J contributed equally to this work; Wei ZJ was the patient’s surgeon and collected the data; Zhang J and Wei ZJ reviewed the literature and contributed to manuscript drafting; Wang H analyzed and interpreted the imaging findings; Yu YB and Sun HT were responsible for the revision of the manuscript for important intellectual content; All authors have read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 32070791; and the Key Scientific Research Projects of Military Logistics, No. BWJ20J002.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hongtao Sun, Doctor, Chief Doctor, Tianjin Key Laboratory of Neurotrauma Repair, Institute of Traumatic Brain Injury and Neuroscience, Characteristic Medical Center of Chinese People’s Armed Police Force, No. 220 Chenglin Road, Tianjin 300162, China. 1019702546@qq.com
Received: January 20, 2022
Peer-review started: January 20, 2022
First decision: March 16, 2022
Revised: April 8, 2022
Accepted: May 27, 2022
Article in press: May 27, 2022
Published online: July 16, 2022
Processing time: 165 Days and 19.1 Hours
Core Tip

Core Tip: We report a rare case of typical oculomotor nerve palsy caused by neurovascular conflicts. Magnetic resonance imaging of the cranial nerve showed that the right posterior cerebral artery loop was in direct contact with the cisternal segment of the oculomotor nerve. We performed microvascular decompression to decompress the neurovascular compression excluding myasthenia gravis, aneurysm, and other eye diseases. Furthermore, the ocular symptoms were significantly relieved 3 mo after surgery. Additionally, we conducted a systematic review of the studies on oculomotor palsy and put forward our own interpretations of related results.