轻度头部损伤伴孤立性动眼神经麻痹。
Mild head injury with isolated third nerve palsy.
作者信息
Muthu P, Pritty P
机构信息
Accident and Emergency Department, Queen's Medical Centre, Nottingham NG7 2UH, UK.
出版信息
Emerg Med J. 2001 Jul;18(4):310-1. doi: 10.1136/emj.18.4.310.
Abstract
Traumatic isolated cranial nerve palsies are uncommon and when they do occur, they are usually associated with severe head trauma. Cranial nerve palsy associated with mild head injury is rare. A case is reported of complete left third nerve palsy associated with mild head injury. The rate of recovery for complete third nerve palsy is slow and prolonged. The ptosis recovered in 10 months; the divergent squint required botulinum toxin to the lateral rectus muscle followed by surgery.
摘要
创伤性孤立性颅神经麻痹并不常见，一旦发生，通常与严重头部创伤相关。与轻度头部损伤相关的颅神经麻痹很罕见。本文报告一例与轻度头部损伤相关的左侧动眼神经完全麻痹病例。动眼神经完全麻痹的恢复速度缓慢且病程较长。上睑下垂在10个月后恢复；外斜视需要对右眼外直肌注射肉毒杆菌毒素，随后进行手术。
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