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在一名高血压糖尿病患者中,以相对保留瞳孔的动眼神经麻痹形式出现的胶质瘤病

Gliomatosis presenting as a relative pupil-sparing third nerve palsy in a hypertensive diabetic.

作者信息

Sheikh U, Price C J S, Gutowski N J

机构信息

Department of Cardiology, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

出版信息

BMJ Case Rep. 2010 Dec 6;2010:bcr0420102930. doi: 10.1136/bcr.04.2010.2930.

DOI:10.1136/bcr.04.2010.2930
PMID:22802234
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3029609/
Abstract

We present an unusual case of a 41-year-old male patient who presented to the ophthalmology department giving a 3-month history of right sided ptosis, weight loss, diplopia and headache. Clinical examination revealed a right sided relative pupil-sparing third nerve palsy. MRI scan of brain showed thickening of both third nerves. Further investigations revealed a glioblastoma.

摘要

我们报告一例罕见病例,一名41岁男性患者因右侧上睑下垂、体重减轻、复视和头痛3个月就诊于眼科。临床检查发现右侧相对性瞳孔保留的动眼神经麻痹。脑部MRI扫描显示双侧动眼神经增粗。进一步检查发现为胶质母细胞瘤。

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本文引用的文献

1
Cause and prognosis of neurologically isolated third, fourth, or sixth cranial nerve dysfunction in cases of oculomotor palsy.动眼神经麻痹病例中孤立性第三、第四或第六颅神经功能障碍的病因及预后
Jpn J Ophthalmol. 2008 Jan-Feb;52(1):32-5. doi: 10.1007/s10384-007-0489-3. Epub 2008 Mar 28.
2
The evaluation of isolated third nerve palsy revisited: an update on the evolving role of magnetic resonance, computed tomography, and catheter angiography.孤立性动眼神经麻痹的评估再探讨:磁共振成像、计算机断层扫描和导管血管造影术不断演变的作用的最新进展
Surv Ophthalmol. 2002 Mar-Apr;47(2):137-57. doi: 10.1016/s0039-6257(01)00303-4.
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Relative pupil-sparing third nerve palsy: etiology and clinical variables predictive of a mass.
Neurology. 2001 Mar 27;56(6):797-8. doi: 10.1212/wnl.56.6.797.
4
The emerging role of magnetic resonance angiography in the management of patients with third cranial nerve palsy.磁共振血管造影在动眼神经麻痹患者管理中的新作用。
Am J Ophthalmol. 1999 Jul;128(1):94-6. doi: 10.1016/s0002-9394(99)00107-5.