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病毒单核细胞增多症导致一名8个月大儿童部分动眼神经麻痹。

Viral mononeurities causing partial oculomotor nerve palsy in an 8 month old child.

作者信息

Mazumdar Jayitri, Chakraborti Chandana, Banerjee Arundhati, Nandi Mousumi

机构信息

Department of Pediatrics, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India.

Department of Ophthalmology, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India.

出版信息

Oman J Ophthalmol. 2017 May-Aug;10(2):117-119. doi: 10.4103/0974-620X.209115.

DOI:10.4103/0974-620X.209115
PMID:28757701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5516457/
Abstract

BACKGROUND

Palsy of the oculomotor nerve is rarely seen in children, and comprehensive guidelines for management and outcome are difficult to find.

CASE

Here we describe a 8 month old boy with left sided ptosis and infero-leteral deviation of left eye and normally reacting pupil and CSF antimeasles antibody titre negative.

OUTCOME

The ptosis improved within 3 weeks with no residual neurodeficit.

MESSAGE

Viral mononeuritis leading to partial 3rd nerve palsy is a rare entity in children till date.

摘要

背景

动眼神经麻痹在儿童中很少见，难以找到关于其治疗和预后的全面指南。

病例

在此，我们描述一名8个月大的男孩，有左侧上睑下垂、左眼向外下偏斜，瞳孔反应正常，脑脊液抗麻疹抗体滴度为阴性。

结果

上睑下垂在3周内有所改善，无残留神经功能缺损。

启示

迄今为止，导致部分动眼神经麻痹的病毒性单神经炎在儿童中是一种罕见病症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/2cc0758ea86d/OJO-10-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/69d1cfc7497f/OJO-10-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/1175713f3141/OJO-10-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/6a82998be40b/OJO-10-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/2cc0758ea86d/OJO-10-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/69d1cfc7497f/OJO-10-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/1175713f3141/OJO-10-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/6a82998be40b/OJO-10-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61fb/5516457/2cc0758ea86d/OJO-10-117-g004.jpg

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本文引用的文献

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Oculomotor nerve palsy caused by posterior communicating artery aneurysm: evaluation of symptoms after endovascular treatment.后交通动脉动脉瘤所致动眼神经麻痹：血管内治疗后的症状评估
Interv Neuroradiol. 2011 Dec;17(4):415-9. doi: 10.1177/159101991101700403. Epub 2011 Dec 16.
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Isolated left oculomotor nerve palsy following measles.麻疹后孤立性动眼神经麻痹
J Child Neurol. 2002 Oct;17(10):784-5. doi: 10.1177/08830738020170101807.
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