Breen L A, Hopf H C, Farris B K, Gutmann L
Department of Neurology, West Virginia University School of Medicine, Morgantown.
Arch Neurol. 1991 Jan;48(1):105-6. doi: 10.1001/archneur.1991.00530130117029.
Vasculopathic oculomotor nerve palsies with pupillary sparing are thought to be due to ischemic damage to the nerve in the subarachnoid space or the cavernous sinus. We present two cases of patients with isolated pupil-sparing oculomotor nerve palsies due to midbrain infarcts. Focal ischemic midbrain lesions should be considered in cases of pupil-sparing oculomotor nerve palsies.
伴有瞳孔保留的血管病变性动眼神经麻痹被认为是由于蛛网膜下腔或海绵窦内神经的缺血性损伤所致。我们报告了两例因中脑梗死导致孤立性瞳孔保留动眼神经麻痹的患者。对于瞳孔保留动眼神经麻痹的病例,应考虑局灶性缺血性中脑病变。