Department of Neurology, Showa University School of Medicine, 1-5-8 Hatanodai Shinagawa-ku, Tokyo 142-8666, Japan.
J Neurol Sci. 2010 Aug 15;295(1-2):135-6. doi: 10.1016/j.jns.2010.05.001.
We report a 50-year-old man who suffered from 5 transient diplopia episodes in 16 months. His diplopia lasted between 2 weeks and 3 months and examination revealed isolated left abducens palsy during the attacks of diplopia. Magnetic resonance (MR) angiography and MR imaging with constructive interference in the steady state sequence showed neurovascular compression of the left abducens nerve at the point of exit from the brain stem. Together with a lack of the preceding headache or febrile illness, we propose that neurovascular compression is a possible etiology of recurrent, isolated abducens nerve palsy.
我们报告了一位 50 岁男性，他在 16 个月内经历了 5 次短暂性复视发作。他的复视持续时间为 2 周至 3 个月，检查显示在复视发作期间出现孤立性左侧展神经麻痹。磁共振（MR）血管造影和稳态序列的构建性干扰磁共振成像显示左侧展神经在离开脑干的部位受到神经血管压迫。结合无前驱性头痛或发热病史，我们提出神经血管压迫可能是复发性孤立性展神经麻痹的病因之一。
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