Jammes J L
Alexandria Hospital, Virginia.
J Clin Neuroophthalmol. 1989 Jun;9(2):112-5.
A 58-year-old woman developed bilateral internuclear ophthalmoplegia, probable right oculosympathetic paresis (Horner's syndrome), and right facial dysesthesias with acute cervical hyperextension upon sustaining a rear-end automobile collision. There was no head trauma. A nuclear magnetic resonance scan revealed a discrete area of increased signal in the tegmentum of the pons to the left. Extensive recovery was noted 1 year later. The acute cervical hyperextension suggested acute shearing and stretching of axons from brain stem deceleration rather than transient vertebral artery ischemia. Internuclear ophthalmoplegia representing intracranial pathology without direct head trauma has not previously been described with acute cervical hyperextension injury.
一名58岁女性在遭遇汽车追尾碰撞后出现双侧核间性眼肌麻痹、可能的右侧眼交感神经麻痹（霍纳综合征）以及右侧面部感觉异常，当时颈部有急性过伸。无头部外伤。核磁共振扫描显示左侧脑桥被盖有一个离散的信号增强区域。1年后观察到广泛恢复。急性颈部过伸提示脑干减速导致轴突急性剪切和拉伸，而非短暂性椎动脉缺血。此前未曾有过急性颈部过伸损伤导致无直接头部外伤的颅内病变表现为核间性眼肌麻痹的报道。
