From the Departments of Neurology (Z.L., X.L., L.S., Y.-B.L.), Radiology (W.W.Z.), and Nephrology (P.D.), Xiangya Hospital, National Clinical Research Center for Geriatric Disorders (L.S.), and Engineering Research Center of Hunan Province in Cognitive Impairment Disorders (L.S.), Central South University, Changsha; Hunan International Scientific and Technological Cooperation Base of Neurodegenerative and Neurogenetic Diseases (L.S.), Changsha; Key Laboratory of Hunan Province in Neurodegenerative Disorders (L.S.), Central South University, Changsha; and Key Laboratory of Organ Injury (L.S.), Aging and Regenerative Medicine of Hunan Province, Changsha, China.
Neurology. 2023 Oct 24;101(17):e1753-e1758. doi: 10.1212/WNL.0000000000207751. Epub 2023 Aug 14.
A 74-year-old woman presented with acute-onset right ptosis and binocular diplopia. CT scan showed low-density lesions in the bilateral basal ganglia and adjacent to lateral ventricles. Intracranial aneurysm was not detected. This case highlights the importance of neurologic localization of ophthalmoplegia based on physical examination and the microanatomy of the oculomotor nerve.
一位 74 岁女性因急性发作的右侧上睑下垂和双眼复视就诊。CT 扫描显示双侧基底节区和侧脑室旁有低密度病变。未发现颅内动脉瘤。本例强调了根据体格检查和动眼神经的微解剖进行眼肌麻痹神经定位的重要性。
