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临床推理:急性双侧眼肌麻痹的女性。

Clinical Reasoning: Woman With Acute Bilateral Ophthalmoplegia.

机构信息

From the Department of Neurology, UPMC, Pittsburgh, PA.

出版信息

Neurology. 2023 Jul 18;101(3):140-144. doi: 10.1212/WNL.0000000000207173. Epub 2023 Mar 28.

Abstract

This is a case of a 75-year-old woman who presented with severe headache, left eye ptosis, and binocular diplopia and was found to have multiple cranial neuropathies on examination. This case reviews the localization and workup of multiple cranial neuropathies and emphasizes the importance of not prematurely narrowing the differential diagnosis.

摘要

这是一位 75 岁女性患者,因严重头痛、左眼下垂和双眼复视就诊,检查发现存在多种颅神经病变。本病例回顾了多种颅神经病变的定位和检查,并强调了不要过早缩小鉴别诊断范围的重要性。

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本文引用的文献

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Ophthalmoplegia in an elderly woman with giant cell arteritis.一位患有巨细胞动脉炎的老年女性出现眼肌麻痹。
Rheumatol Adv Pract. 2018 Jun 29;2(2):rky020. doi: 10.1093/rap/rky020. eCollection 2018.
4
Ophthalmic manifestations of giant cell arteritis.巨细胞动脉炎的眼部表现。
Rheumatology (Oxford). 2018 Feb 1;57(suppl_2):ii63-ii72. doi: 10.1093/rheumatology/kex428.
6
An unusual cause of bilateral ophthalmoplegia.双侧眼肌麻痹的一种罕见病因。
BMJ Case Rep. 2010 Dec 20;2010:bcr0920103353. doi: 10.1136/bcr.09.2010.3353.
9
Bilateral third nerve palsy and temporal arteritis.双侧动眼神经麻痹与颞动脉炎。
Arch Neurol. 2005 Nov;62(11):1766-8. doi: 10.1001/archneur.62.11.1766.
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