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表象之下:孤立性双侧展神经麻痹作为多发性硬化的首发表现

More Than Meets the Eye: Isolated Bilateral Abducens Nerve Palsy as the Initial Presentation of Multiple Sclerosis.

作者信息

Ojemolon Pius E, Enejo Rebecca E, Evbayekha Endurance O, Ituah Livio U, Shaka Hafeez

机构信息

Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, USA.

Department of Surgery, Federal Medical Centre, Lokoja, Lokoja, NGA.

出版信息

Cureus. 2022 Jul 23;14(7):e27176. doi: 10.7759/cureus.27176. eCollection 2022 Jul.

DOI:10.7759/cureus.27176
PMID:36039209
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9395122/
Abstract

Multiple sclerosis (MA) is a chronic demyelinating disease of the central nervous system. Although the initial presentation of MS is widely variable, only rarely does it present with isolated bilateral cranial nerve involvement. With this article, we report a case of MS initially presenting as a clinically isolated syndrome of bilateral abducens nerve palsy.

摘要

多发性硬化症(MS)是一种中枢神经系统的慢性脱髓鞘疾病。虽然MS的初始表现差异很大,但以孤立的双侧颅神经受累形式出现的情况极为罕见。在本文中,我们报告了一例最初表现为双侧展神经麻痹的临床孤立综合征的MS病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/de91771a0cb5/cureus-0014-00000027176-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/0d8190bef391/cureus-0014-00000027176-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/33ed91699d25/cureus-0014-00000027176-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/de91771a0cb5/cureus-0014-00000027176-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/0d8190bef391/cureus-0014-00000027176-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/33ed91699d25/cureus-0014-00000027176-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92a9/9395122/de91771a0cb5/cureus-0014-00000027176-i03.jpg

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Diagnosis and Treatment of Multiple Sclerosis: A Review.多发性硬化症的诊断与治疗:综述。
JAMA. 2021 Feb 23;325(8):765-779. doi: 10.1001/jama.2020.26858.
3
Neuro-ophthalmologic manifestations of multiple sclerosis other than acute optic neuritis.除急性视神经炎外的多发性硬化的神经眼科表现。
Mult Scler Relat Disord. 2021 Feb;48:102730. doi: 10.1016/j.msard.2020.102730. Epub 2020 Dec 31.
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Mult Scler. 2020 Dec;26(14):1816-1821. doi: 10.1177/1352458520970841. Epub 2020 Nov 11.
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The prevalence of MS in the United States: A population-based estimate using health claims data.美国多发性硬化症的患病率:基于健康索赔数据的人群估计。
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