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单纯动眼神经麻痹的轻型颅脑损伤的临床转归。

Clinical outcome of mild head injury with isolated oculomotor nerve palsy.

机构信息

Division of Neurosurgery, Department of Surgery, National Taiwan University Hospital, Yun-lin, Taiwan.

出版信息

J Neurotrauma. 2010 Nov;27(11):1959-64. doi: 10.1089/neu.2010.1407.

DOI:10.1089/neu.2010.1407
PMID:20799883
Abstract

Isolated oculomotor nerve palsy after mild head injury is rare. Only a few case reports have described the clinical presentation of these patients, and clinical and functional outcome have not been discussed in depth. The outcome of 10 patients with mild head injury in whom imaging studies ruled out other possible causes of oculomotor palsy was assessed during follow-up using the Glasgow Outcome Scale-Extended (GOSE). We suggest that limited eye movement is a major factor that negatively affects functional status after mild head injury.

摘要

轻度头部损伤后发生孤立性动眼神经麻痹较为罕见。仅有少数病例报告描述了这些患者的临床表现,且并未深入探讨其临床和功能预后。我们使用格拉斯哥预后评分扩展版(GOSE)对 10 例影像学检查排除了其他可能引起动眼神经麻痹病因的轻度头部损伤患者进行了随访,并评估了其结果。我们认为,眼球运动受限是影响轻度头部损伤后功能状态的一个主要负面因素。

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