Departments of Neurology, Soonchunhyang University School of Medicine, 59 Daesakwan-ro, Yong san-gu, Seoul 04401, South Korea.
Departments of Neurology, Soonchunhyang University School of Medicine, 59 Daesakwan-ro, Yong san-gu, Seoul 04401, South Korea.
J Stroke Cerebrovasc Dis. 2020 Nov;29(11):105139. doi: 10.1016/j.jstrokecerebrovasdis.2020.105139. Epub 2020 Aug 6.
Case reports of bilateral facial palsy with horizontal gaze restriction are rare. A 62-year-old woman experienced sudden onset of bilateral adduction deficits, bilateral abducting nystagmus accompanied with facial diplegia. We confirmed acute ischemic stroke in the midline dorsal pons, where medial longitudinal fasciculus (MLF) and facial nerve fascicles are located. This can be explained by vascular variation of pontine perforating arteries.
双侧面瘫伴水平凝视受限的病例报告较为罕见。一位 62 岁女性突发出现双侧内收缺陷，双侧外展性眼球震颤伴面瘫。我们在中脑背侧中线处证实了急性缺血性脑卒中，此处有内侧纵束（MLF）和面神经束。这可以用脑桥穿通动脉的血管变异来解释。
