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Show l6l I.ITUv\rw\£ ABSTRACTS tinct masses with different findings. One existed in the pituitMV fOSS,l, which e,telllkd superiorly tll the illlllr llf the third ventricle. TIll' llther existed in the right middle fllSS,l ,1I1d invllived llr compressed the right C,l\'erilOUS sinus. Surgl'rV was perfl)rnwd, ,1I1d by histllp,lthlliogy the intrilsellM tunlllr W.1S di.1gnllsed ,1S .1 pitllitMy ildenomil ilnJ the par,lsl'lIar tumor W,lS di.lgnosed as nll'ningllthl'lillma tOllS n1l'ni ngillm,l. Ml'ningillmas are well knllwn to occur after radi. ltilll1 tllt'rap~' for pituitary adt.'nomas. The COl'Xistt.' IKe l)f these tumllrs withllut irradiation is rare. Walter M. lay, M.D. Postoperative Oculomotor Palsy Due to Vasospasm in a Patient with a Ruptured Internal Carotid Artery Aneurysm: A Case Report. Kudos T. Neurosurgery 1986;19:274-7 (Aug). [Reprint requests to Tadashi Kudo, M.D., Neurosurgery Service, Yokohama Asahi Chu-oh General Hllspital, Wakabadai 4-1-2, Asahi-ku, Yokohama-shi, Kanagawa- ken, 241 Japan.) A 47-year-old woman was admitted after the sudden onset of neck pain, vomiting, and occipital headache. A computed tomographic (CT) scan showed diffuse subarachnoid hemorrhage in the Sylvian fissures, interhemispheric fissure, basal cisterns, and ambient cisterns bilaterally. Cerebral angiography demonstra ted an aneurysm of the right internal carotid artery. After right-sided frontotemporal craniotomy, ventricular drainage was performed; then clipping of the aneurysmal neck was carried out. On the third postoperative day, the patient developed a complete right-sided ptosis with a dilated and fixed pupil and lateral deviation of the right eye. Repeat CT scan showed no new changes. Angiography revealed evidence of vasospasm in the right C-1, A-l, M-1, posterior communicating, and posterior cerebral arteries. The aneurysm clip appeared to be in the horizontal plane. The head (spring part) of the clip was not inferiorly rotated. Immediately after angiography, volume therapy was started with the consideration that the patient's oculomotor palsy was probably secondary to ischemia rather than compression by a rotated aneurysm clip. It took 10 weeks before she recovered completely from the right oculomotor palsy. Postoperative oculomotor palsy is usually due to direct injury to the nerve at the time of surgery and is seen immediately following the operation. In this case report, the oculomotor palsy was not seen until the third postoperative day, Walter M. Jay, M,D. Neurological Disease Activity in Multiple Sclerosis Patients with Periphlebitis Retinae. Engell T. Acta Ncural Scalld 1986;73:168-72 (Feb). [Reprint requests to Tine Engell, Department of Ophthalmology, Hvidovre Hospital, Kellegardas Ale 30, 2650 Hvidovre, Denmark.) The present study is apparently the first investigation atempting to correlate occurrence of periphlebitis retinae with the neurological state of patients suffering from multiple sclerosis (MS), Twenty-seven of 135 studied patients with MS demo";strated periphlebitis retinae. One percent of patients with stationary disease or with disease in remission showed periphlebitis retinae, whereas it was seen in 43?( of patients with rapid progression or during attack. When the eventual course of the disease was considered, periphlebitis retinae was found three times as often in patients who became wheelchair-bound within 5 years than in patients with a benign course. Periphlebitis retinae was found in 13.79c of affected men, whereas only 5.69"( of the affected women showed retinal vascular lesions. This is in accordance with previous observations indicating that MS runs a more malignant cause in men than in women. Al'illoal1l B. Safrall, M.D. Familial Olivopontocerebellar Atrophy with Macular Degeneration: A Separate Entity Among the Olivopontocerebellar Atrophies. Anttinen A, Nikoskelainen E, Marttila R], Grenman R, Falck B, Aarnisalo E, Kalimo H. Acta Nellrol Scalld 1986;73:180-90 (Feb). [Reprint requests to A. Nikoskelainen, M, D., Department of Ophthalmology, University of Turku, SF-20520 Turku, Finland.) The authors suggest that familial olivopontocerebellar atrophy with macular degeneration is a specific and clinically recognizable subtype of olivopontocerebellar atrophy. They describe a Finnish family, 10 of whom are clinically affected by this association; other reported families with similar features are reviewed, Inheritance was found |