Shuaib A, Farah S
Department of Medicine (Neurology), Royal University Hospital, University of Saskatchewan, Saskatoon, Canada.
South Med J. 1992 Jan;85(1):49-51. doi: 10.1097/00007611-199201000-00016.
We have described two patients who had coma without focal findings and who were found to have an ischemic stroke involving the midbrain and the thalamus. In both cases metabolic encephalopathy or drug overdose was initially suspected, but recognition of abnormal vertical eye movements led to the proper diagnosis. Examination of vertical eye movements in drowsy or comatose patients may be helpful in arriving at the correct diagnosis early and may prevent unnecessary investigations.
我们描述了两名患者，他们昏迷且无局灶性体征，被发现患有累及中脑和丘脑的缺血性中风。在这两例中，最初怀疑是代谢性脑病或药物过量，但对异常垂直眼球运动的识别导致了正确的诊断。对嗜睡或昏迷患者进行垂直眼球运动检查可能有助于早期做出正确诊断，并可避免不必要的检查。
