Nighoghossian N, Vighetto A, Trouillas P
Service de Neurologie B, Hôpital Neurologique P. Wertheimer, Lyon.
Rev Neurol (Paris). 1991;147(10):676-9.
A 78-year-old man had a midbrain hemorrhage, documented by CT scan and MRI, resulting in a mild cerebellar syndrome predominant on the left upper limb, lateropulsion, and a complex ocular motor syndrome. The latter was associated with right nuclear oculomotor nerve palsy, gaze paresis to the left for voluntary saccades, and a tonic ocular tilt reaction. Pathophysiological mechanisms are discussed.
一名78岁男性经CT扫描和MRI证实发生中脑出血，导致以左侧上肢为主的轻度小脑综合征、向外侧倾倒及复杂的眼球运动综合征。后者伴有右侧动眼神经核性麻痹、随意扫视时向左凝视麻痹及强直性眼球倾斜反应。文中讨论了病理生理机制。
