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KCI등재 학술저널

해면정맥동굴의 뇌수막종 환자에서 사이버나이프 정위적 방사선수술 후 발생한 외향신경마비 1예

Abducens Nerve Palsy Induced by Cyberknife Stereotactic Radiosurgery for Meningioma in the Cavernous Sinus

Purpose: To report a patient with abducens nerve palsy that occurred after the radiation therapy with Cyberknife Stereotactic Radiosurgery at meningioma in the right cavernous sinus. Case Summary: A 64-year-old woman visited our clinic complaining of diplopia for 2 days after been undergone 3 cycle radiation therapy with Cyberknife Stereotactic Radiosurgery (800 cGy (Accumulate dose 2,400 cGy)) for treatment a meningioma in the right cavernous sinus. She had a right esotropia of 45 prism diopters in the primary position with a decrease in abduction of the right eye and diplopia in straight, right side gaze. She was diagnosed with right abducens nerve palsy. We observed without special treatment. A diplopia improved after 9 months and only 14 prism diopters was left in the primary position, and she is wearing prism glasses for relief of symptom and on an observation. Conclusions: Abducens nerve palsy can result from radiation therapy with Cyberknife Stereotactic Radiosurgery.

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