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原发性动眼神经异常再生。

Primary aberrant third nerve regeneration.

作者信息

Boghen D, Chartrand J P, Laflamme P, Kirkham T, Hardy J, Aube M

出版信息

Ann Neurol. 1979 Nov;6(5):415-8. doi: 10.1002/ana.410060507.

DOI:10.1002/ana.410060507
PMID:518037
Abstract

The clinical and neuroradiological features in 4 patients with the syndrome of aberrant regeneration of the third nerve are presented. In contrast to what is commonly seen, the syndrome was not preceded by third nerve palsy. A petrous apex-cavernous sinus meningioma was the underlying lesion in all 4 patients. Surgical and pathological confirmation of the diagnosis was obtained in 3. Regardless of whether the other ocular motor nerves are spared (as in our patients) or involved (as in other cases reported in the literature), primary aberrant regeneration of the oculomotor nerve appears to be characteristic of a cavernous sinus meningioma.

摘要

本文介绍了4例动眼神经异常再生综合征患者的临床和神经放射学特征。与常见情况不同的是,该综合征并非由动眼神经麻痹所致。所有4例患者的潜在病变均为岩尖-海绵窦脑膜瘤。3例患者经手术及病理确诊。无论其他眼动神经是否受累(如我们的患者)或未受累(如文献报道的其他病例),动眼神经原发性异常再生似乎是海绵窦脑膜瘤的特征。

相似文献

1
Primary aberrant third nerve regeneration.原发性动眼神经异常再生。
Ann Neurol. 1979 Nov;6(5):415-8. doi: 10.1002/ana.410060507.
2
Primary aberrant aculomotor regeneration. A sign of intracavernous meningioma.原发性动眼神经异常再生。海绵窦内脑膜瘤的一个征象。
Arch Neurol. 1977 Jan;34(1):29-32. doi: 10.1001/archneur.1977.00500130049009.
3
[Regressive oculomotor disorders in meningioma of the cavernous sinus].
Rev Otoneuroophtalmol. 1984 Jul-Dec;56(4-5):435-40.
4
[A case of primary aberrant oculomotor regeneration due to intracavernous aneurysm].[一例因海绵窦内动脉瘤导致的原发性动眼神经异常再生病例]
Rinsho Shinkeigaku. 1984 Aug;24(8):765-8.
5
Misdirection revisited. A critical appraisal of acquired oculomotor nerve synkinesis.
Arch Ophthalmol. 1980 Dec;98(12):2206-9. doi: 10.1001/archopht.1980.01020041058012.
6
Primary aberrant regeneration and neuromyotonia of the third cranial nerve.第三脑神经的原发性异常再生与神经性肌强直
J Neuroophthalmol. 2006 Dec;26(4):248-50. doi: 10.1097/01.wno.0000249319.27110.26.
7
[Sympathetic control of the smooth muscle of the upper eyelid. (value in the topographic diagnosis of an exophthalmos)].[上睑平滑肌的交感神经控制。(在眼球突出症的局部诊断中的价值)]
Bull Soc Ophtalmol Fr. 1974 Apr;74(4):439-44.
8
[Neurinoma of the oculomotor nerve (author's transl)].动眼神经神经鞘瘤(作者译)
Klin Monbl Augenheilkd. 1978 Apr;172(4):627-35.
9
Pupil sparing incomplete third nerve palsy secondary to a cavernous sinus meningioma: challenges in management.
Clin Exp Optom. 2007 Mar;90(2):132-8. doi: 10.1111/j.1444-0938.2006.00104.x.
10
Detailed magnetic resonance imaging findings of the ocular motor nerves in Duane's retraction syndrome.杜安眼球后退综合征中眼球运动神经的详细磁共振成像结果。
J Pediatr Ophthalmol Strabismus. 2009 Sep-Oct;46(5):278-85; quiz 286-7. doi: 10.3928/01913913-20090903-05. Epub 2009 Sep 22.

引用本文的文献

1
Rate of progression and severity of neuro-ophthalmologic manifestations of cavernous sinus meningiomas.海绵窦脑膜瘤神经眼科表现的进展速度和严重程度。
Skull Base Surg. 1992;2(3):129-33. doi: 10.1055/s-2008-1057123.
2
Pseudo-Graefe's sign: a manifestation of aberrant regeneration of the fourth cranial nerve?假性格雷费氏征:动眼神经异常再生的一种表现?
Graefes Arch Clin Exp Ophthalmol. 1993 Feb;231(2):76-8. doi: 10.1007/BF00920216.
3
Bilateral intracavernous carotid aneurysms presenting as pseudo-ocular myasthenia gravis.表现为假性眼肌型重症肌无力的双侧海绵窦内颈动脉瘤
Trans Am Ophthalmol Soc. 1989;87:445-57; discussion 457-62.