孤立性动眼神经麻痹伴瞳孔保留作为多发性硬化的首发症状
Isolated pupil-sparing third-nerve palsy as the presenting sign of multiple sclerosis.
作者信息
Newman N J, Lessell S
机构信息
Neuro-ophthalmology Unit, Massachusetts Eye and Ear Infirmary, Boston 02114.
出版信息
Arch Neurol. 1990 Jul;47(7):817-8. doi: 10.1001/archneur.1990.00530070117021.
Abstract
A 27-year-old man presented with an isolated, pupil-sparing, partial third-nerve palsy. Etiologic investigations proved unrevealing. Subsequent development of an optic neuropathy prompted magnetic resonance imaging, which confirmed the clinical suspicion of multiple sclerosis. Rarely does multiple sclerosis present with oculomotor nerve involvement.
摘要
一名27岁男性出现孤立性、瞳孔保留的部分动眼神经麻痹。病因学检查未发现异常。随后出现的视神经病变促使进行磁共振成像检查，结果证实了临床对多发性硬化症的怀疑。多发性硬化症很少出现动眼神经受累的情况。
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