因化脓性血栓性静脉炎导致的双侧展神经麻痹。
Bilateral abducens nerve palsy due to septic thrombophlebitis.
作者信息
Vu Vincent N, Savino Peter J, Robbins Shira L
机构信息
Ratner Children's Eye Center at the University of California San Diego, 9415 Campus Point Drive, La Jolla, CA, USA.
The Neuro-ophthalmology Service, The Shiley Eye Institute, University of California, 9415 Campus Point Drive, La Jolla, CA, USA.
出版信息
Am J Ophthalmol Case Rep. 2019 Oct 31;16:100566. doi: 10.1016/j.ajoc.2019.100566. eCollection 2019 Dec.
PURPOSE
To report a case of septic thrombophlebitis producing bilateral abducens nerve palsy.
OBSERVATION
A 65 year-old woman with recent sinus surgery experienced the onset of horizontal diplopia during treatment for bacteremia. Computer tomography of head and a neck ultrasonography showed right internal jugular vein occlusion. Ophthalmology examination was consistent with bilateral abducens nerve palsy. She was treated with systemic antibiotics and antiplatelet therapy with resolution of the internal jugular vein occlusion. The diplopia improved over a six-months.
CONCLUSION AND IMPORTANCE
Our patient had Lemierre syndrome with an unusual presentation. The patient was treated for septic thrombophlebitis with a resolution of her ocular symptoms.
目的
报告一例导致双侧展神经麻痹的化脓性血栓性静脉炎病例。
观察
一名65岁近期接受鼻窦手术的女性在治疗菌血症期间出现水平性复视。头部计算机断层扫描和颈部超声检查显示右颈内静脉闭塞。眼科检查结果与双侧展神经麻痹相符。她接受了全身抗生素治疗和抗血小板治疗，颈内静脉闭塞情况得到缓解。复视在六个月内有所改善。
结论及重要性
我们的患者患有莱米尔综合征，表现不寻常。患者接受了化脓性血栓性静脉炎治疗，眼部症状得到缓解。
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