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妊娠高血压所致展神经麻痹:一例报告并文献复习

Abducens Nerve Palsy In Gestational Hypertension: A Case Report and Review of the Literature.

作者信息

Nieto-Calvache Albaro J, Loaiza-Osorio Sara, Casallas-Carrillo José, Escobar-Vidarte María F

机构信息

Fundación Valle del Lili, Cali, Colombia.

Clinical Research Center in Fundación Valle del Lili, Cali, Colombia.

出版信息

J Obstet Gynaecol Can. 2017 Oct;39(10):890-893. doi: 10.1016/j.jogc.2017.04.031. Epub 2017 Jun 8.

DOI:10.1016/j.jogc.2017.04.031
PMID:28602444
Abstract

BACKGROUND

Headache, blurring of vision, and confusion are common neurologic symptoms of hypertensive disorders of pregnancy, whereas abducens nerve palsy during pregnancy is an extremely rare condition.

CASE

A 28-year-old woman with gestational hypertension presented isolated sixth cranial nerve palsy after delivery. Neither simple resonance nor angioresonance showed alterations. No other specific pathology was found. Symptoms of abducens nerve palsy resolved spontaneously.

CONCLUSION

Abducens nerve palsy is an unusual condition. We present a review of the literature finding eight documented cases of hypertensive disorders of pregnancy associated with sixth nerve palsy. This case is the ninth reported case.

摘要

背景

头痛、视力模糊和意识模糊是妊娠期高血压疾病常见的神经系统症状,而妊娠期外展神经麻痹是一种极其罕见的病症。

病例

一名28岁患有妊娠期高血压的女性在产后出现孤立性第六颅神经麻痹。单纯磁共振成像和血管造影均未显示异常。未发现其他特定病理情况。外展神经麻痹症状自行缓解。

结论

外展神经麻痹是一种罕见病症。我们对文献进行了回顾,发现有八例妊娠期高血压疾病与第六神经麻痹相关的记录病例。本病例为第九例报告病例。

相似文献

1
Abducens Nerve Palsy In Gestational Hypertension: A Case Report and Review of the Literature.妊娠高血压所致展神经麻痹:一例报告并文献复习
J Obstet Gynaecol Can. 2017 Oct;39(10):890-893. doi: 10.1016/j.jogc.2017.04.031. Epub 2017 Jun 8.
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Abducens nerve palsy in pre eclampsia : case report.
Tunis Med. 2018 Jan;96(1):76-79.
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Abducens nerve palsy in pre-eclampsia after delivery: An unusual case report.产后子痫前期并发外展神经麻痹:一例罕见病例报告。
J Obstet Gynaecol Res. 2007 Aug;33(4):543-5. doi: 10.1111/j.1447-0756.2007.00563.x.
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Abducens Nerve Palsy in Pregnancy: A Case Report.妊娠期间的展神经麻痹:一例报告
J Clin Diagn Res. 2016 Dec;10(12):QD03-QD04. doi: 10.7860/JCDR/2016/22035.9060. Epub 2016 Dec 1.
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Sixth nerve palsy: an unusual manifestation of preeclampsia.
Obstet Gynecol. 1994 May;83(5 Pt 2):849-51.
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Isolated abducens nerve palsy following lumbar puncture: case report and review of the mechanism of action.腰椎穿刺后孤立性展神经麻痹:病例报告及作用机制综述
J Neurosurg Sci. 2010 Sep;54(3):119-23.
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Isolated bilateral abducens nerve palsy due to an inflammatory process within the sella and parasellar regions.因蝶鞍和鞍旁区域的炎症过程导致的孤立性双侧展神经麻痹。
J Clin Neurosci. 2016 Jan;23:165-168. doi: 10.1016/j.jocn.2015.08.018. Epub 2015 Oct 21.
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Abducens nerve palsy associated with pseudomeningocele after lumbar disc surgery: a case report.展神经麻痹伴腰椎间盘手术后假性脑脊膜膨出:一例报告。
Spine (Phila Pa 1976). 2012 Apr 15;37(8):E511-3. doi: 10.1097/BRS.0b013e3182373b95.
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Abducens palsy after lumbar drain placement: a rare complication in endoscopic skull base surgery.腰大池引流后展神经麻痹:内镜颅底手术中的罕见并发症。
Laryngoscope. 2013 Nov;123(11):2633-8. doi: 10.1002/lary.24177. Epub 2013 May 13.
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Isolated sixth cranial nerve palsy in preeclampsia.
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引用本文的文献

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Recurrent isolated sixth cranial nerve palsy as a manifestation of preeclampsia.复发性孤立性第六颅神经麻痹作为子痫前期的一种表现。
Obstet Med. 2025 Feb 24:1753495X251317604. doi: 10.1177/1753495X251317604.
2
Isolated sixth nerve palsy as the first manifestation of preeclampsia.孤立性第六脑神经麻痹作为子痫前期的首发表现。
Radiol Case Rep. 2023 Jan 31;18(4):1411-1414. doi: 10.1016/j.radcr.2023.01.012. eCollection 2023 Apr.
3
Isolated Hypoglossal Mononeuropathy Associated With Preeclampsia.与子痫前期相关的孤立性舌下神经单神经病
Neurol Clin Pract. 2021 Oct;11(5):e768-e769. doi: 10.1212/CPJ.0000000000000974.
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The diagnostic dilemma of a pregnant woman presenting with an isolated sixth nerve palsy: A case report.一名孕妇出现孤立性第六脑神经麻痹的诊断困境:病例报告。
Obstet Med. 2020 Dec;13(4):195-197. doi: 10.1177/1753495X18817167. Epub 2019 Jan 31.