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以凝视麻痹为表现的乳腺癌推测转移至展神经核。

Presumed metastasis of breast cancer to the abducens nucleus presenting as gaze palsy.

作者信息

Han Sang Beom, Kim Jae Hyoung, Hwang Jeong-Min

机构信息

Department of Ophthalmology, Seoul National University Bundang Hospital, #300 Gumi-dong, Bundang-gu, Seongnam, Korea.

出版信息

Korean J Ophthalmol. 2010 Jun;24(3):186-8. doi: 10.3341/kjo.2010.24.3.186. Epub 2010 Jun 5.

DOI:10.3341/kjo.2010.24.3.186
PMID:20532149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2882086/
Abstract

A 51-year-old woman with breast cancer presented with progressive diplopia. Neuro-ophthalmologic examination revealed right gaze palsy and peripheral facial nerve palsy. Brain magnetic resonance imaging (MRI) was normal. However, two months later a repeat brain MRI revealed an enhancing round nodular mass at the right facial colliculus of the lower pons, at the location of the abducens nucleus. Localized metastasis to the abducens nucleus can cause gaze palsy in a patient with breast cancer.

摘要

一名51岁的乳腺癌女性患者出现进行性复视。神经眼科检查发现右眼凝视麻痹和周围性面神经麻痹。脑部磁共振成像（MRI）结果正常。然而，两个月后复查脑部MRI显示，在脑桥下部右侧面神经丘、展神经核所在位置有一个强化的圆形结节状肿块。乳腺癌患者展神经核的局部转移可导致凝视麻痹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9c8/2882086/bee6ddfd49c7/kjo-24-186-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9c8/2882086/e0db10c5d4d2/kjo-24-186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9c8/2882086/bee6ddfd49c7/kjo-24-186-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9c8/2882086/e0db10c5d4d2/kjo-24-186-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f9c8/2882086/bee6ddfd49c7/kjo-24-186-g002.jpg

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Brain metastases in breast cancer: prognostic factors and management.乳腺癌脑转移：预后因素与治疗
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A case of herpes zoster with abducens palsy.1例伴有外展神经麻痹的带状疱疹
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