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眼球运动中核性与核上性联合缺陷。一项临床病理研究。

Combined nuclear and supranuclear defects in ocular motility. A clinicopathologic study.

作者信息

Reagan T J, Trautmann J C

出版信息

Arch Neurol. 1978 Mar;35(3):133-7. doi: 10.1001/archneur.1978.00500270015004.

DOI:10.1001/archneur.1978.00500270015004
PMID:305240
Abstract

A 65-year-old man suffered a midbrain infarct after coronary artery bypass surgery. He was left with a severe neuro-ophthalmologic deficit consisting of paralysis of upward and downward vertical gaze, weakness of adduction of the left eye, a dilated fixed left pupil, and partial right Horner's syndrome. He died 31 months after the episode. Postmortem examination disclosed an infarct involving parts of both oculomotor nuclei as well as supranuclear structures thought to be involved in the mediation of vertical eye movements.

摘要

一名65岁男性在冠状动脉搭桥手术后发生中脑梗死。他遗留有严重的神经眼科缺陷,包括向上和向下垂直凝视麻痹、左眼内收无力、左侧瞳孔散大固定以及部分右侧霍纳综合征。发病31个月后他死亡。尸检发现梗死累及动眼神经核的部分区域以及被认为参与垂直眼球运动调节的核上结构。

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Combined nuclear and supranuclear defects in ocular motility. A clinicopathologic study.眼球运动中核性与核上性联合缺陷。一项临床病理研究。
Arch Neurol. 1978 Mar;35(3):133-7. doi: 10.1001/archneur.1978.00500270015004.
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引用本文的文献

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Waking up from coronary bypass surgery and one eye does not move right.冠状动脉旁路手术后醒来,一只眼睛无法向右转动。
Neurocrit Care. 2012 Jun;16(3):452-5. doi: 10.1007/s12028-011-9666-9.
2
The nosological position of Fisher's syndrome (ophthalmoplegia, ataxia and areflexia).费希尔综合征(眼肌麻痹、共济失调和无反射)的疾病分类地位。
J Neurol. 1983;229(1):33-44. doi: 10.1007/BF00313494.
3
Locked-in syndrome with bilateral ptosis: combination of bilateral horizontal pontine gaze paralysis and nuclear oculomotor nerve paralysis.伴有双侧上睑下垂的闭锁综合征:双侧水平性脑桥凝视麻痹与动眼神经核性麻痹的组合。
J Neurol. 1985;232(6):366-7. doi: 10.1007/BF00313838.
4
Presentation of bilateral thalamic infarction on CT, MRI and PET.双侧丘脑梗死在CT、MRI和PET上的表现。
Neuroradiology. 1985;27(5):414-9. doi: 10.1007/BF00327605.
5
Reflex vertical gaze and the medial longitudinal fasciculus.反射性垂直注视与内侧纵束。
J Neurol Neurosurg Psychiatry. 1978 Dec;41(12):1084-91. doi: 10.1136/jnnp.41.12.1084.