van Waveren M, Herzau V, Besch D
Sektion für Motilitätsstörungen, periokuläre Chirurgie und Kinderophthalmologie, Universitäts-Augenklinik, Tübingen, Deutschland.
Ophthalmologe. 2009 Jan;106(1):47-51. doi: 10.1007/s00347-008-1769-0.
Ocular neuromyotonia is a rare disease that is diagnosed mainly in patients treated with radiation. All such patients described in the literature presented with temporary diplopic images as a common symptom. In our case, the patient described an abducens paresis of the right eye combined with a sporadic exotropia half a year after radiation treatment of an epipharynx carcinoma. An adduction deficit on the right side could be triggered by holding the gaze to the right over a longer period of time, leading to exotropia in the primary position and gaze to the left. Symptoms were reduced with carbamazepine.
眼部神经肌强直是一种罕见疾病，主要在接受放疗的患者中被诊断出来。文献中描述的所有此类患者都有临时复视图像这一常见症状。在我们的病例中，患者在鼻咽癌放疗半年后出现右眼外展神经麻痹合并散发性外斜视。长时间向右注视可引发右侧内收功能障碍，导致原在位和向左注视时出现外斜视。卡马西平可减轻症状。
