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

Yamazaki, Tomosato  ,  Yamamoto, Tetsuya  ,  Hatayama, Toru  ,  Zaboronok, Alexander  ,  Ishikawa, Eiichi  ,  Akutsu, Hiroyoshi  ,  Matsuda, Masahide  ,  Kato, Noriyuki  ,  Matsumura, Akira

157 ( 10 )  , pp.1801 - 1805 , 2015-10 , Springer
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.

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