Yip P K, Tsai S Y, Chen R C
Department of Neurology, National Taiwan University Hospital, Taipei, R.O.C.
Zhonghua Yi Xue Za Zhi (Taipei). 1991 Feb;47(2):126-32.
From January 1976 through December 1988, 9 patients with clinical manifestations of the syndrome of ophthalmoplegia, ataxia and areflexia were diagnosed at National Taiwan University Hospital. Among them, 2 patients experienced recurrent attacks. A total of 12 attacks were recorded. Preceding symptoms of upper respiratory tract infection were noted in 9 out of 12 attacks. A spectrum of neuro-ophthalmological manifestations was observed. Most of these findings were probably secondary to central nervous system involvement. An elevation of protein level without pleocytosis was found in CSF examination of 6 attacks. Electrodiagnostic studies suggested large myelinated sensory fibers involvement as the major finding in 5 patients. A benign course in all 9 patients was noted. Special attention to nosological position and unusual features are also discussed.
1976年1月至1988年12月期间，台湾大学医院诊断出9例有眼肌麻痹、共济失调和无反射综合征临床表现的患者。其中，2例患者经历了复发发作。共记录到12次发作。12次发作中有9次发作前出现上呼吸道感染症状。观察到一系列神经眼科表现。这些发现大多可能继发于中枢神经系统受累。6次发作的脑脊液检查发现蛋白水平升高但无细胞增多。电诊断研究表明，5例患者的主要发现是大的有髓感觉纤维受累。9例患者病程均为良性。文中还讨论了对疾病分类位置和不寻常特征的特别关注。
