复发性孤立性第六颅神经麻痹作为子痫前期的一种表现。
Recurrent isolated sixth cranial nerve palsy as a manifestation of preeclampsia.
作者信息
Negreanu Daniel, Legault Catherine, El-Messidi Amira, Malhamé Isabelle
机构信息
Department of Medicine, McGill University Health Centre, Montréal, QC, Canada.
Department of Neurology and Neurosurgery, McGill University Health Centre, Montréal, QC, Canada.
出版信息
Obstet Med. 2025 Feb 24:1753495X251317604. doi: 10.1177/1753495X251317604.
BACKGROUND
Isolated sixth nerve palsy is a rare neurologic manifestation of preeclampsia suggesting severity. The purpose of this article is to describe a case of recurrent sixth cranial nerve palsy in the setting of preeclampsia and to highlight its clinical significance, management considerations, and prognosis.
CASE
A 28-year-old woman presented with recurrent left sixth nerve palsy in the setting of preeclampsia at 36 weeks' gestation. No alternative diagnosis was found in laboratory investigations and cerebral imaging. Symptoms resolved spontaneously within 5 days of delivery.
CONCLUSION
A case of recurrent isolated sixth cranial nerve palsy as a manifestation of preeclampsia is described. This rare finding must be recognized by those caring for pregnant individuals.
背景
孤立性第六神经麻痹是先兆子痫的一种罕见神经学表现，提示病情严重。本文旨在描述一例先兆子痫患者复发性第六颅神经麻痹的病例，并强调其临床意义、管理考量及预后。
病例
一名28岁女性在妊娠36周时因先兆子痫出现复发性左侧第六神经麻痹。实验室检查和脑部影像学检查未发现其他诊断。症状在分娩后5天内自行缓解。
结论
描述了一例作为先兆子痫表现的复发性孤立性第六颅神经麻痹病例。这种罕见发现必须被照顾孕妇的人员所认识。
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