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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.

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。

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