Tognetti F, Godano U, Galassi E
Division of Neurosurgery, Ospedale Bellaria, Bologna, Italy.
Surg Neurol. 1988 Feb;29(2):120-4. doi: 10.1016/0090-3019(88)90068-7.
Bilateral palsy of the third cranial nerve in a head-injured patient is described. Delayed computed tomography scanning demonstrated a midline necrotic lesion within the mesencephalon ventral to the aqueduct. The lesion, possibly the sequela of a focal contusion, involved both third nerve nuclear complexes and caused paralysis of their voluntary as well as autonomic functions. Gaze mechanisms and long tracts appeared to be less heavily damaged. The literature dealing with third nerve palsy, particularly bilateral cases, from traumatic and other origins is briefly reviewed.
本文描述了一名头部受伤患者双侧第三脑神经麻痹的情况。延迟计算机断层扫描显示中脑导水管腹侧有一个中线坏死性病变。该病变可能是局灶性挫伤的后遗症，累及双侧第三神经核复合体，导致其随意及自主功能麻痹。凝视机制和长传导束似乎受损较轻。本文简要回顾了有关创伤性及其他原因导致的第三神经麻痹，尤其是双侧病例的文献。
