Lapresle J, Man H X
Rev Neurol (Paris). 1979 Jul-Aug;135(6-7):515-25.
The authors report a case malignant lymphoma associated with a pseudotabetic syndrome including ataxia, tendon areflexia and an Argyll Robertson pupil. Blood and CSF serological tests for syphilis were negative. Death occurred after 11 years of evolution. An autopsy revealed a malignant lymphoma with mediastinal and retroperitoneal tumor proliferation as well as infiltration of peripheral nerves, in particular the ciliary nerves and one ciliary ganglion examined. No lesion was found in the mesencephalon. The importance of this case lies in its contribution to the location of the pathological changes in the presence of an Argyll Robertson pupil.
作者报告了一例与假糖尿病综合征相关的恶性淋巴瘤,该综合征包括共济失调、腱反射消失和阿-罗瞳孔。梅毒的血液和脑脊液血清学检查均为阴性。病程11年后患者死亡。尸检发现纵隔和腹膜后有恶性淋巴瘤肿瘤增殖,以及周围神经浸润,特别是所检查的睫状神经和一个睫状神经节。中脑未发现病变。该病例的重要性在于其对存在阿-罗瞳孔时病理变化定位的贡献。