核间性眼肌麻痹（INO）：神经精神性红斑狼疮的一种罕见表现。
Internuclear ophthalmoplegia (INO): an unusual presentation of neuropsychiatric lupus erythematosus.
作者信息
Abel Michael P, Murphy Frederick T, Enzenauer Raymond J, Enzenauer Robert W
机构信息
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
出版信息
Binocul Vis Strabismus Q. 2003;18(1):29-30.
BACKGROUND AND PURPOSE
INO in SLE is uncommon, affecting < 5% of hospitalized SLE patients. A MEDLINE search 1966-2001 revealed only 22 reported cases. INO also rarely presents with diplopia. We report such a case.
CASE REPORT
A 35 year old woman with long standing SLE developed the abrupt onset of diplopia, vertigo and ataxia. Physical examination was remarkable only for the neurologic examination with a left INO and abnormal cerebellar testing. Treatment with corticosteroids and intravenous cyclophosphamide resulted in resolution of her cerebellar and ocular symptoms.
背景与目的
系统性红斑狼疮（SLE）中的核间性眼肌麻痹（INO）并不常见，在住院的SLE患者中发生率低于5%。对1966年至2001年期间的医学文献数据库（MEDLINE）进行检索，仅发现22例相关报道。INO也很少表现为复视。我们报告这样一例病例。
病例报告
一名患有长期SLE的35岁女性突然出现复视、眩晕和共济失调。体格检查仅在神经系统检查时发现明显异常，表现为左侧INO及小脑检查异常。使用皮质类固醇和静脉注射环磷酰胺治疗后，其小脑和眼部症状得以缓解。
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