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保留提上睑肌的核性动眼神经麻痹。临床及磁共振成像表现

Levator-sparing nuclear oculomotor palsy. Clinical and magnetic resonance imaging findings.

作者信息

Bryan J S, Hamed L M

机构信息

Department of Ophthalmology, University of Florida College of Medicine, Gainesville.

出版信息

J Clin Neuroophthalmol. 1992 Mar;12(1):26-30.

PMID:1532597
Abstract

Two patients with diplopia presented with unilateral oculomotor palsy, defective elevation of the contralateral eye, and sparing of the levator palpebrae muscle. In each case, magnetic resonance imaging disclosed an infarction of the oculomotor nuclear complex in the mesencephalon. This clinical neuroradiological correlation is consistent with Warwick's scheme pertaining to the neuroanatomy of the oculomotor nuclear complex and demonstrates the utility of MRI in diagnosing ocular motility disorders of brainstem origin.

摘要

两名复视患者表现为单侧动眼神经麻痹、对侧眼上抬功能障碍以及提上睑肌未受累。在每例患者中,磁共振成像显示中脑动眼神经核复合体梗死。这种临床与神经放射学的相关性与沃里克关于动眼神经核复合体神经解剖学的方案一致,并证明了磁共振成像在诊断脑干起源的眼球运动障碍中的作用。

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