Jean D, Maes E
U.C.L.-Clin. Saint-Luc, Service d'Ophtalmologie, Bruxelles.
Bull Soc Belge Ophtalmol. 1992;245:29-32.
Clinical description of a 33 years-old woman, with hyperthyroidism, admitted to the emergency unit with external bilateral ophthalmoplegia and left mydriasis, unreactive to light. The external ophthalmoplegia is proven to be due to myasthenia. The left mydriatic pupil demonstrates features typical for Adie's tonic pupil. The association of a tonic pupil with an auto-immune disease is infrequent. The axiom that internal ophthalmoplegia in a patient with external ophthalmoplegia excludes myasthenia gravis should be reevaluated.
一名33岁患有甲状腺功能亢进的女性的临床描述，因双侧眼球外肌麻痹和左侧瞳孔散大、对光无反应入住急诊室。经证实，眼球外肌麻痹是由重症肌无力引起的。左侧散大的瞳孔表现出典型的阿狄强直性瞳孔特征。强直性瞳孔与自身免疫性疾病的关联并不常见。对于患有眼球外肌麻痹的患者，眼内肌麻痹排除重症肌无力这一公理应重新评估。
