Moster M L, Schatz N J, Savino P J, Benes S, Bosley T M, Sergott R C
Department of Neurology, Temple University School of Medicine, Philadelphia, PA 19140.
Ann Neurol. 1988 Feb;23(2):190-2. doi: 10.1002/ana.410230213.
We report thirty-three patients with alternating skew deviation on lateral gaze. The right eye was hypertropic in right gaze, and the left eye was hypertropic in left gaze. Most patients had associated downbeat nystagmus and ataxia and were diagnosed as having lesions of the cerebellar pathways or the cervicomedullary junction. This contrasts with a previous report in which alternating skew was seen mainly in lesions of the midbrain pretectum.
我们报告了33例在侧方凝视时出现交替性斜视偏斜的患者。右眼在向右凝视时上斜，左眼在向左凝视时上斜。大多数患者伴有下跳性眼球震颤和共济失调，被诊断为小脑通路或颈髓交界处病变。这与之前的一份报告形成对比，在那份报告中，交替性斜视主要见于中脑顶盖前区病变。
