Hoffmann A, Barth A, Perthel U, Steffen H M, Brunner R, Allolio B
Klinik II und Poliklinik für Innere Medizin, Köln.
Med Klin (Munich). 1990 Aug 15;85(8):459-62.
The occurrence of high-risk factors for vascular disorders was analysed in a group of 43 patients suffering from diplopia of unknown aetiology. The subjects (25 men and 18 women) were aged between 17 and 78 years. Previously excluded were patients with intracranial or orbital tumors, ocular myositis or myasthenia, multiple sclerosis, endocrine orbitopathy, head trauma, cerebral hemorrhage or aneurysms, leucaemic infiltrates or metastasising tumors. Compared to the control groups of extensive epidemiological studies, the patients showed a higher prevalence of arterial hypertension and diabetes mellitus. Adipositas, lipometabolic disturbance and cigarette smoking were also more frequent. The findings support the hypothesis of a vascular origin of eye-muscle paresis.
对一组43例病因不明的复视患者的血管疾病高危因素的发生情况进行了分析。研究对象(25名男性和18名女性)年龄在17岁至78岁之间。先前已排除患有颅内或眼眶肿瘤、眼肌炎或重症肌无力、多发性硬化症、内分泌性眼眶病、头部外伤、脑出血或动脉瘤、白血病浸润或转移性肿瘤的患者。与广泛的流行病学研究对照组相比,这些患者的动脉高血压和糖尿病患病率更高。肥胖、脂质代谢紊乱和吸烟也更为常见。这些发现支持眼肌麻痹血管起源的假说。