Fontanari J L, Vaitses V D, Cruz C E, Tichauer T A, Lisboa L, Souza E S
Arq Neuropsiquiatr. 1986 Dec;44(4):383-90. doi: 10.1590/s0004-282x1986000400009.
The authors report a case of right midbrain and high pons haemorrhage with complete external ophthalmoplegia, except bilateral convergence, voluntary and automatic-reflex abduction of the left eye and adduction of this eye with vestibulo-ocular reflex ("one-and-a-half syndrome"). There is voluntary-automatic dissociation of the eyelids motricity and the vertical gaze. Still, there is sensitive-motor hemiplegia at left and asterixis.
作者报告了一例右中脑和脑桥上部出血的病例,患者出现完全性外展神经麻痹,仅保留双侧集合、左眼的随意性和自动反射性外展以及通过前庭眼反射引起的该眼内收(“一个半综合征”)。眼睑运动和垂直凝视存在随意性与自动性分离。此外,患者左侧存在感觉运动性偏瘫和扑翼样震颤。