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创伤性双侧第四脑神经麻痹：头部受伤后向下注视引起的复视。

Traumatic bilateral fourth nerve palsy: Double vision induced by downward gaze after head injury.

作者信息

Tago Masaki, Hisata Yoshio, Hirata Risa, Sakaguchi Mika, Katsuki Naoko E, Yamashita Shu-Ichi

机构信息

Department of General Medicine Saga University Hospital Saga Japan.

Department of Ophthalmology Faculty of Medicine Saga University Saga Japan.

出版信息

J Gen Fam Med. 2020 Mar 11;21(4):155-156. doi: 10.1002/jgf2.310. eCollection 2020 Jul.

DOI:10.1002/jgf2.310
PMID:32742908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7388665/
Abstract

Clinicians should be alert to traumatic fourth nerve palsy in patients with double vision after head injury. In most cases with traumatic fourth nerve palsy, the imaging tests fail to show abnormal findings. In the cases of bilateral superior oblique paresis, the sensitivity of Bielschowsky head-tilt test is 40%.

摘要

临床医生应警惕头部受伤后出现复视的患者发生外伤性滑车神经麻痹。在大多数外伤性滑车神经麻痹病例中，影像学检查未显示异常结果。在双侧上斜肌麻痹的病例中，Bielschowsky 头倾试验的敏感度为40%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfd/7388665/1882b2ea44ad/JGF2-21-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfd/7388665/598c3a472986/JGF2-21-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfd/7388665/1882b2ea44ad/JGF2-21-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfd/7388665/598c3a472986/JGF2-21-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccfd/7388665/1882b2ea44ad/JGF2-21-155-g002.jpg

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引用本文的文献

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Corrigendum.勘误
J Gen Fam Med. 2020 Nov 25;21(6):296. doi: 10.1002/jgf2.371. eCollection 2020 Nov.

本文引用的文献

1
Incidence and Etiology of Presumed Fourth Cranial Nerve Palsy: A Population-based Study.疑似动眼神经麻痹的发病率及病因：一项基于人群的研究。
Am J Ophthalmol. 2018 Jan;185:110-114. doi: 10.1016/j.ajo.2017.10.019. Epub 2017 Nov 2.
2
The sensitivity of the bielschowsky head-tilt test in diagnosing acquired bilateral superior oblique paresis.贝尔氏头倾斜试验诊断获得性双侧上斜肌麻痹的敏感性。
Am J Ophthalmol. 2014 Apr;157(4):901-907.e2. doi: 10.1016/j.ajo.2014.01.003. Epub 2014 Jan 9.
3
CT demonstration of dorsal midbrain hemorrhage in traumatic fourth cranial nerve palsy.
CT 显示外伤性第四颅神经麻痹中的中脑背侧出血。
J Neuroophthalmol. 2010 Mar;30(1):59-63. doi: 10.1097/WNO.0b013e3181ce1b1d.
4
Superior oblique paralysis. A review of 270 cases.上斜肌麻痹。270例病例回顾。
Arch Ophthalmol. 1986 Dec;104(12):1771-6. doi: 10.1001/archopht.1986.01050240045037.