Harris Glenn R, Breazzano Mark P, Shyu Irene, Donahue Sean P, Lavin Patrick J M
Vanderbilt University School of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Department of Ophthalmology & Visual Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Neuroophthalmology. 2019 Feb 8;44(4):262-266. doi: 10.1080/01658107.2019.1576738.
A 70-year-old woman with systemic lupus erythematosus developed a painful pupil-involving right third nerve palsy, ipsilateral fourth nerve palsy, and periorbital paraesthesia. Magnetic resonance imaging demonstrated enhancement and thickening of the right third nerve, and she was diagnosed with presumed Tolosa-Hunt syndrome. Repeated imaging seven months later showed resolution of the enhancing thickened oculomotor nerve, but the patient developed signs of oculomotor synkinesis. This presentation demonstrates a rare case of oculomotor synkinesis secondary to inflammation.
一名70岁的系统性红斑狼疮女性患者出现了累及瞳孔的右侧动眼神经麻痹、同侧滑车神经麻痹及眶周感觉异常。磁共振成像显示右侧动眼神经强化及增粗，她被诊断为疑似托洛萨-亨特综合征。7个月后重复成像显示强化增厚的动眼神经病变消退，但患者出现了动眼神经联带运动体征。该病例展示了一例罕见的继发于炎症的动眼神经联带运动。
