第六神经麻痹 + 同侧霍纳综合征 = 帕金森综合征。
Sixth nerve palsy + ipsilateral Horner's Syndrome = Parkinson's Syndrome.
作者信息
Ebner Roberto N, Ayerza Dolores Ribero, Aghetoni Fernando
机构信息
Neuro-ophthalmology Unit, Dept. of Ophthalmology, Buenos Aires British Hospital, Argentina.
出版信息
Saudi J Ophthalmol. 2015 Jan-Mar;29(1):63-6. doi: 10.1016/j.sjopt.2014.09.010. Epub 2014 Oct 5.
PURPOSE
To present five patients with VIth nerve palsy and ipsilateral Horner's Syndrome (HS), as a result of cavernous sinus alteration.
STUDY DESIGN
Consecutive case series.
MATERIAL AND METHODS
Five patients presented abducens palsy with horizontal diplopia (3 in primary position and 2 in lateral gaze only) and ipsilateral HS. Apraclonidine 0.5% drops evidenced sympathetic denervation in all patients 40-60 min after instillation. All 5 cases had neuroimages (MRI in 3 cases, Computerized Tomography - CT in one case and Magnetic Resonance Angiography - MRA in one case) demonstrating cavernous sinus lesions; 2 meningiomas, 1 carotid-cavernous aneurism, 1 foreign body (bullet) and 1 squamous cell carcinoma.
CONCLUSION
Lesions on the cavernous sinus need to be considered in cases of abducens nerve palsy and ipsilateral Horner's Syndrome.
目的
介绍5例因海绵窦病变导致第六脑神经麻痹及同侧霍纳综合征（HS）的患者。
研究设计
连续病例系列。
材料与方法
5例患者出现外展神经麻痹伴水平复视（3例在第一眼位，2例仅在侧视时出现）及同侧HS。0.5%阿可乐定滴眼液在滴入后40 - 60分钟证实所有患者均存在交感神经去神经支配。所有5例患者均有神经影像学检查（3例为MRI，1例为计算机断层扫描 - CT，1例为磁共振血管造影 - MRA）显示海绵窦病变；2例为脑膜瘤，1例为颈内动脉海绵窦段动脉瘤，1例为异物（子弹），1例为鳞状细胞癌。
结论
在外展神经麻痹及同侧霍纳综合征的病例中，需要考虑海绵窦病变。
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