Aydin M D, Aydin N
Department of Neurosurgery, Medical Faculty, Atatürk University, Erzurum, Turkey.
Acta Neurol Scand. 2003 Aug;108(2):139-41. doi: 10.1034/j.1600-0404.2003.00019.x.
Fascicular oculomotor nerve involvement is occasionally seen in Behcet's disease, but nuclear involvement is very rare.
A 25-year-old woman presented with the Behcet's symptoms and the left eye problems. Physical examination revealed muco-cutaneous lesions, eyelid ptosis, mydriasis, upward and medial gaze palsy and lateral deviation on the left eye. Serologic tests were positive. An inflammatory lesion was detected in the left oculomotor nerve nucleus on magnetic resonance imaging. Neuro-Behcet's disease was considered the most likely diagnosis.
Dexamethasone treatment was ordered. Muco-cutaneal lesions, laboratory abnormalities were normalized after 1 year; but oculomotor nerve palsy persisted in spite of improvement in radiological findings.
Clinical signs of oculomotor nerve palsy may persist despite the radiological improvement.
在白塞病中偶尔可见动眼神经束支受累，但核受累极为罕见。
一名25岁女性出现白塞病症状及左眼问题。体格检查发现黏膜皮肤病变、眼睑下垂、瞳孔散大、向上及向内凝视麻痹以及左眼外展。血清学检查呈阳性。磁共振成像显示左侧动眼神经核有炎性病变。神经白塞病被认为是最可能的诊断。
医嘱使用地塞米松治疗。1年后黏膜皮肤病变、实验室异常恢复正常；但尽管影像学表现有所改善，动眼神经麻痹仍持续存在。
尽管影像学有所改善，但动眼神经麻痹的临床体征可能持续存在。
