Atilla H, Işikay C T, Kansu T
Ankara University, School of Medicine, Department of Ophthalmology, Ankara, Turkey.
Acta Neurol Belg. 2000 Dec;100(4):246-7.
Isolated sixth nerve palsy associated with pontine infarct is very rare due to close anatomic organization of the structures. A 62-year-old woman, who complained of diplopia, had a diagnosis of sixth nerve palsy. Ophthalmological examination revealed 30 PD left esotropia in primary position with limited abduction of the left eye. Neurologic examination was normal. MR showed a lacunar infarct in the pons consistent with a fascicular lesion. Cerebral angiography was normal. Pontine infarcts causing fascicular lesions should be kept in mind in isolated sixth nerve palsies.
由于结构的解剖组织紧密，孤立性第六脑神经麻痹伴脑桥梗死非常罕见。一名62岁女性，主诉复视，被诊断为第六脑神经麻痹。眼科检查发现原眼位时左眼有30棱镜度内斜视，左眼外展受限。神经系统检查正常。磁共振成像显示脑桥有一个腔隙性梗死，与束状病变相符。脑血管造影正常。在孤立性第六脑神经麻痹中应考虑到导致束状病变的脑桥梗死。
