患者,女性,48岁。1975年曾因右大脑中动脉瘤破裂而引起蛛网膜下腔出血。当时脑血管造影未发现有其他部位动脉瘤存在,经右颞部入路行动脉瘤包裹术。术中没有暴露右动眼神经和损伤颈内动脉,术后恢复良好。1985年9月,因一过性复视来我院就医,CT检查未发现有蛛网膜下腔出血。1995年2月出现前额头痛,神经学检查:右侧动眼神经轻度麻痹,瞳孔不等大,但没有上睑下垂和眼外肌运动障碍。MRI和 Patient, female, 48 years old. Subarachnoid hemorrhage was caused by the rupture of the right middle cerebral artery aneurysm in 1975. At that time, cerebral angiography was not found in other parts of the aneurysm, the right temporal approach aneurysm wrapping. Intraoperative right eye was not exposed and damage the internal carotid artery, postoperative recovery was good. In 1985 September, due to a transient double vision to our hospital, CT examination found no subarachnoid hemorrhage. February 1995 appeared forehead headache, neurological examination: the right oculomotor nerve paralysis, ranging from large pupil, but no ptosis and extraocular muscle dyskinesia. MRI and