Flanders M, Watters G, Draper J, O'Gorman A
Department of Ophthalmology, Montreal Children's Hospital, McGill University, PQ.
Can J Ophthalmol. 1989 Feb;24(1):28-30.
We describe a patient in whom bilateral congenital third cranial nerve palsy was diagnosed at 2 weeks of age. The ptosis was treated at 3 weeks with bilateral eyelid suspension surgery, and surgical repair of the exotropia was done at 4 months. To our knowledge this is the fourth reported case of this condition. It was probably caused by a single lesion involving the oculomotor and possibly the trochlear nuclei in the brain stem. Magnetic resonance imaging scans supported this hypothesis and suggested other central nervous system anomalies.
我们描述了一名在2周龄时被诊断为双侧先天性动眼神经麻痹的患者。上睑下垂在3周龄时接受了双侧眼睑悬吊手术治疗，外斜视在4月龄时进行了手术修复。据我们所知，这是该病症报道的第四例病例。它可能是由累及脑干动眼神经核以及可能滑车神经核的单一病变引起的。磁共振成像扫描支持这一假说，并提示存在其他中枢神经系统异常。
