Oculomotor Nerve Neurofibroma Associated with Bilateral Cavernous Aneurysms: Case Report.

Ahn, Young Hwan; Cho, Kyung Gi; Cho, Ki Hong; Ahn, Young Min; Yoon, Soo Han; Kim, Jang Sung; Sim, Chul

Original Article

Journal of Korean Neurosurgical Society 1996;25(12): 2506-2513.

Young Hwan Ahn, Kyung Gi Cho, Ki Hong Cho, Young Min Ahn, Soo Han Yoon, Jang Sung Kim, Chul Sim

¹Department of Neurosurgery, Ajou University School of Medicine, Suwon, Korea.
²Department of Neurology, Ajou University School of Medicine, Suwon, Korea.
³Department of Pathology, Ajou University School of Medicine, Suwon, Korea.

ABSTRACT

The authors report a rare case of neurofibroma of the oculomotor nerve combined with the bilateral intracavernous aneurysms of the internal carotid artery. A 38-year-old female presented with a 2 month history of ocular pain and ptosis on the left side. Computed tomogram and magnetic resonance image showed a parasellar enhancing mass. Angiogram revealed bilateral intracavernous aneurysm of the internal carotid artery and multiple beaded appearance of the internal carotid artery. The tumor was completely removed via left Dolenc approach and the oculomotor nerve was reconstructed by end-to-end anastomosis, with the sural nerve. Ipsilateral intracavernous aneurysm was clipped using an encircling clip.

Key Words: Neurofibroma; Oculomotor nerve; Cavernous sinus; Aneurysm