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眼肌麻痹、共济失调和无反射(费希尔综合征)中的眼球运动异常。

Eye-movement abnormalities in ophthalmoplegia, ataxia, and areflexia (Fisher's syndrome).

作者信息

Zasorin N L, Yee R D, Baloh R W

出版信息

Arch Ophthalmol. 1985 Jan;103(1):55-8. doi: 10.1001/archopht.1985.01050010059019.

DOI:10.1001/archopht.1985.01050010059019
PMID:3977676
Abstract

Ophthalmoplegia, ataxia, and areflexia are present in a distinctive syndrome called Fisher's syndrome. Eye-movement recordings were used to analyze ophthalmoplegia and other eye-movement abnormalities in three patients. Disorders of supranuclear ocular motor pathways (palsy of upward gaze and internuclear ophthalmoplegia) and peripheral cranial nerve palsies could account for the ophthalmoplegia. In one patient, computed tomography demonstrated a lucency in the midbrain that could be correlated with palsy of upward gaze and bilateral internuclear ophthalmoplegia. Eye-movement abnormalities characteristic of lesions of the midline structures of the cerebellum were documented in two patients. A review of reported cases of Fisher's syndrome and brain-stem encephalitis suggested that these syndromes comprise a spectrum of a reversible, parainfectious process affecting the peripheral cranial nerves and CNS.

摘要

眼肌麻痹、共济失调和无反射见于一种名为费希尔综合征的独特综合征。使用眼动记录来分析3例患者的眼肌麻痹及其他眼动异常。核上性眼球运动通路障碍(上视麻痹和核间性眼肌麻痹)以及周围性脑神经麻痹可解释眼肌麻痹。在1例患者中,计算机断层扫描显示中脑有透亮区,这可能与上视麻痹和双侧核间性眼肌麻痹相关。在2例患者中记录到了小脑中线结构病变特征性的眼动异常。对已报道的费希尔综合征和脑干脑炎病例的回顾表明,这些综合征构成了一个影响周围性脑神经和中枢神经系统的可逆性、感染后相关过程的范围。

相似文献

1
Eye-movement abnormalities in ophthalmoplegia, ataxia, and areflexia (Fisher's syndrome).眼肌麻痹、共济失调和无反射(费希尔综合征)中的眼球运动异常。
Arch Ophthalmol. 1985 Jan;103(1):55-8. doi: 10.1001/archopht.1985.01050010059019.
2
Supranuclear eye movement disorders in Fisher's syndrome of ophthalmoplegia, ataxia, and areflexia. Report of a case and literature review.眼肌麻痹、共济失调和无反射的费希尔综合征中的核上性眼球运动障碍。病例报告及文献综述。
Arch Neurol. 1983 Jul;40(7):402-5. doi: 10.1001/archneur.1983.04050070032005.
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The nosological position of Fisher's syndrome (ophthalmoplegia, ataxia and areflexia).费希尔综合征(眼肌麻痹、共济失调和无反射)的疾病分类地位。
J Neurol. 1983;229(1):33-44. doi: 10.1007/BF00313494.
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Neuro-ophthalmic manifestations of the syndrome of ophthalmoplegia, ataxia and areflexia: a review.
Acta Neurol Scand. 1994 Mar;89(3):157-63. doi: 10.1111/j.1600-0404.1994.tb01654.x.
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Peripheral nerves in Fisher's syndrome.费舍尔综合征中的周围神经
Acta Neurol Scand. 1985 Sep;72(3):348-50. doi: 10.1111/j.1600-0404.1985.tb00883.x.
6
Three patients with Fisher's syndrome and normal MRI.
Neurology. 1988 Oct;38(10):1630-1. doi: 10.1212/wnl.38.10.1630.
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[Ophthalmoplegia in Fisher syndrome: a combination of peripheral, internuclear and supranuclear lesions].[费舍尔综合征中的眼肌麻痹:周围性、核间性和核上性病变的组合]
Psychiatr Neurol Med Psychol (Leipz). 1982 Dec;34(12):731-4.
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[Fisher's one-and-one half syndrome. Involvement of the 6th cranial nerve nucleus and association with paralytic pontine exotropia].[费希尔(Fisher)综合征。第六脑神经核受累及与麻痹性脑桥外斜视的关联]
Acta Neurol Belg. 1986 Aug-Oct;86(4):217-23.
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Correlation of 1a afferent conduction with the ataxia of Fisher syndrome.1a传入神经传导与费舍尔综合征共济失调的相关性。
Muscle Nerve. 1986 May;9(4):327-32. doi: 10.1002/mus.880090408.
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Tonic pupils with acute ophthalmoplegic polyneuritis.
Ann Neurol. 1977 Nov;2(5):393-6. doi: 10.1002/ana.410020508.

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