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丘脑后下-底丘脑旁正中动脉区域梗死所致垂直性凝视麻痹。

Vertical gaze ophthalmoplegia from infarction in the area of the posterior thalamo-subthalamic paramedian artery.

作者信息

Wall M, Slamovits T L, Weisberg L A, Trufant S A

出版信息

Stroke. 1986 May-Jun;17(3):546-55. doi: 10.1161/01.str.17.3.546.

DOI:10.1161/01.str.17.3.546
PMID:3715958
Abstract

Three cases of a stroke syndrome of acute supranuclear vertical gaze ophthalmoplegia are presented. Voluntary vertical gaze and the vertical vestibulo-ocular reflex were absent or diminished initially in all three patients. The patients also had loss of convergence and alteration in their mental status. Computed tomography scans showed lesions in the region of the rostral midbrain and lower diencephalon in the area surrounding the third ventricle. The blood supply, ischemic stroke syndrome and function of this region with reference to the supranuclear control of vertical gaze are discussed.

摘要

本文报告了3例急性核上性垂直凝视麻痹的中风综合征病例。所有3例患者最初均出现随意性垂直凝视及垂直前庭眼反射消失或减弱。患者还出现集合功能丧失及精神状态改变。计算机断层扫描显示,在第三脑室周围区域的中脑嘴侧和下丘脑下部有病变。本文讨论了该区域的血液供应、缺血性中风综合征及其与垂直凝视核上控制相关的功能。

相似文献

1
Vertical gaze ophthalmoplegia from infarction in the area of the posterior thalamo-subthalamic paramedian artery.丘脑后下-底丘脑旁正中动脉区域梗死所致垂直性凝视麻痹。
Stroke. 1986 May-Jun;17(3):546-55. doi: 10.1161/01.str.17.3.546.
2
Upgaze palsy and monocular paresis of downward gaze from ipsilateral thalamo-mesencephalic infarction: a vertical "one-and-a-half" syndrome.同侧丘脑-中脑梗死所致上视麻痹和向下注视单眼轻瘫:一种垂直性“一个半”综合征
J Neurol. 1984;231(1):43-5. doi: 10.1007/BF00313651.
3
Midbrain-diencephalic horizontal gaze paresis.中脑-间脑水平凝视麻痹
J Clin Neuroophthalmol. 1987 Dec;7(4):227-34. doi: 10.3109/01658108709007457.
4
[Selective impairment of downward gaze; report of two cases of midbrain and bilateral paramedian thalamic infarction].[向下凝视的选择性损害;中脑和双侧丘脑旁正中梗死两例报告]
Rinsho Shinkeigaku. 1989 May;29(5):593-8.
5
[Paralysis of downward gaze and chronic global amnesia as a result of a bilateral thalamo-subthalamic lesion].[双侧丘脑-底丘脑病变导致的向下凝视麻痹和慢性全面性遗忘症]
Rev Neurol (Paris). 1986;142(4):449-55.
6
[A case of vertical gaze palsy associated with a unilateral infarct in the thalamo-mesencephalic junction on MR imaging].[一例与丘脑-中脑交界处单侧梗死相关的垂直凝视麻痹病例的磁共振成像表现]
Rinsho Shinkeigaku. 1994 Apr;34(4):356-60.
7
[Vertical gaze paralysis and thalamic dementia. Syndrome of the posterior thalamo-subthalamic paramedian artery].[垂直凝视麻痹与丘脑痴呆。丘脑后-底丘脑旁正中动脉综合征]
Nervenarzt. 1984 Dec;55(12):625-36.
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[Parinaud's syndrome and tonic vertical gaze deviation. 3 anatomo-clinical observations].[帕里诺综合征与强直性垂直凝视偏斜。3例解剖临床观察]
Rev Neurol (Paris). 1982;138(8-9):601-17.
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Complete ophthalmoplegia: an unusual sign of bilateral paramedian midbrain-thalamic infarction.完全性眼肌麻痹:双侧旁正中中脑 - 丘脑梗死的一种罕见体征。
Stroke. 2008 Apr;39(4):1355-7. doi: 10.1161/STROKEAHA.107.504761. Epub 2008 Feb 28.
10
[Supranuclear vertical gaze palsy: bilateral thalamo-mesencephalic lesions demonstrated by MRI].[核上性垂直凝视麻痹:MRI显示双侧丘脑-中脑病变]
Rinsho Shinkeigaku. 1989 Apr;29(4):517-9.

引用本文的文献

1
Unilateral asterixis, thalamic astasia and vertical one and half syndrome in a unilateral posterior thalamo-subthalamic paramedian infarct: An interesting case report.单侧丘脑后下旁正中梗死所致的单侧扑翼样震颤、丘脑性站立不能及垂直性一个半综合征:一例有趣的病例报告。
J Neurosci Rural Pract. 2013 Apr;4(2):220-3. doi: 10.4103/0976-3147.112775.
2
Bilateral paramedian thalamic artery infarcts: report of eight cases.双侧丘脑旁正中动脉梗死:8例报告
J Neurol Neurosurg Psychiatry. 1987 Jul;50(7):900-9. doi: 10.1136/jnnp.50.7.900.