Rimmer S, Katz B
Neuro-Ophthalmology Unit, Pacific Presbyterian Medical Center, San Francisco, California 94115.
J Clin Neuroophthalmol. 1990 Mar;10(1):38-40.
Dissociated vertical deviation is a not uncommon strabismic syndrome characterized by upward deviation of an eye when occluded, with downward movement of the eye when occlusion is removed. Associated findings include latent nystagmus and horizontal strabismus. Duane's retraction syndrome is the clinical declaration of anomalous cranial nerve innervation characterized by a marked limitation or absence of abduction, variable limitation of adduction, narrowing of the palpebral fissure, and apparent globe retraction on attempted adduction. We report a patient with both dissociated vertical deviation and bilateral Duane's retraction syndrome, demonstrating that dissociated vertical deviation can occur with the anomalous neuroanatomic substrate present in Duane's retraction syndrome.
分离性垂直偏斜是一种并不罕见的斜视综合征，其特征为在遮盖一只眼时该眼向上偏斜，而去除遮盖后眼球向下运动。相关表现包括潜在性眼球震颤和水平斜视。杜安眼球后退综合征是异常颅神经支配的临床表征，其特点为外展明显受限或缺失、内收可变受限、睑裂变窄以及试图内收时眼球明显后退。我们报告了一名患有分离性垂直偏斜和双侧杜安眼球后退综合征的患者，表明分离性垂直偏斜可与杜安眼球后退综合征中存在的异常神经解剖学基质同时出现。
