先天性眼球震颤的鉴别诊断。
The differential diagnosis of congenital nystagmus.
作者信息
Gresty M, Page N, Barratt H
出版信息
J Neurol Neurosurg Psychiatry. 1984 Sep;47(9):936-42. doi: 10.1136/jnnp.47.9.936.
Abstract
The decision whether a nystagmus is congenital or acquired may be difficult and is of importance in patients presenting with neurological complaints. In this article, established diagnostic criteria are critically reviewed with particular emphasis on types of nystagmus waveform and their relationship to pursuit and optokinetic responses. Attention is drawn to certain acquired nystagmus which may have similar features which have hitherto been accepted as pathognomonic of congenital nystagmus. Symptoms due to congenital nystagmus are discussed and related to the oculomotor abnormalities. The importance of the characteristics of congenital nystagmus are evaluated for use in differential diagnosis.
摘要
判断眼球震颤是先天性还是后天性可能具有难度，对于有神经学症状的患者而言至关重要。在本文中，对既定的诊断标准进行了批判性回顾，特别强调了眼球震颤波形的类型及其与追踪和视动反应的关系。需注意某些后天性眼球震颤可能具有与先天性眼球震颤特征相似的特点，而这些特征迄今一直被视为先天性眼球震颤的特征性表现。本文讨论了先天性眼球震颤引起的症状，并将其与眼球运动异常相关联。对先天性眼球震颤的特征在鉴别诊断中的应用价值进行了评估。
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