Yang Zhiliang, Sun Guilian
Department of Pediatrics, The First Affiliated Hospital of China Medical University, No. 155 Nanjing North Street, Heping District, Shenyang, 110001, Liaoning, China.
BMC Ophthalmol. 2016 Oct 26;16(1):185. doi: 10.1186/s12886-016-0365-3.
Sixth (abducens) nerve palsy (ANP) is far less frequent in children and has not been reported as a sign of acute disseminated encephalomyelitis (ADEM). We present an infant case of ADEM with bilateral abducens nerve palsy (BANP).
We report one case of BANP in a 15-month-old boy of fulminant ADEM. The patient underwent physical examinations and brain MRI scan three times during about six months follow-up. The patient had BANP and developmental regression when he regained consciousness from a coma, and the signs had persisted for 6-months.
BANP can be a symptom of ADEM.
第六（展）神经麻痹（ANP）在儿童中较为少见，且尚未有作为急性播散性脑脊髓炎（ADEM）体征的相关报道。我们报告一例患有双侧展神经麻痹（BANP）的婴儿ADEM病例。
我们报告一名15个月大患暴发性ADEM男孩的BANP病例。在大约6个月的随访期间，该患者接受了3次体格检查和脑部磁共振成像扫描。患者从昏迷中苏醒时出现BANP和发育倒退，这些体征持续了6个月。
BANP可能是ADEM的一种症状。
