Department of Neurology & Neurotherapeutics, UT Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas TX 75390, United States.
Department of Neurology & Neurotherapeutics, UT Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd, Dallas TX 75390, United States.
Mult Scler Relat Disord. 2019 Jun;31:72-73. doi: 10.1016/j.msard.2019.03.019. Epub 2019 Mar 28.
A 17-year-old girl with relapsing-remitting multiple sclerosis (MS) was referred for a 2-year history of visual blurriness. Her bedside examination was remarkable for gait unsteadiness only. Optical coherence tomography was performed as part of her workup. Unexpectedly, Spectralis© video imaging revealed left torsional nystagmus that was not apparent on bedside examination. Review of previous brain magnetic resonance images (MRI) revealed left ocular deviation, as well as a left dorsolateral medullary MS plaque, which was the cause of her torsional nystagmus. We highlight how Spectralis© scanning confocal laser ophthalmoscopy allows video imaging that can capture torsional ocular movements.
一位 17 岁患有复发缓解型多发性硬化症（MS）的女孩因 2 年的视力模糊而就诊。她的床边检查仅显示步态不稳定。作为检查的一部分，进行了光学相干断层扫描。出乎意料的是，Spectralis©视频成像显示出左侧扭转性眼球震颤，而床边检查并未发现。对以前的脑部磁共振成像（MRI）的回顾显示左侧眼球偏斜，以及左侧延髓背外侧多发性硬化斑块，这是她扭转性眼球震颤的原因。我们强调 Spectralis©扫描共焦激光检眼镜如何进行视频成像，可以捕捉扭转性眼球运动。
