Kline L B, McCluer S M, Bonikowski F P
Arch Neurol. 1984 Jan;41(1):61-4. doi: 10.1001/archneur.1984.04050130067025.
A 23-year-old man, involved in a motor-vehicle accident, became quadraparetic due to cervical spinal cord injury at the C-4 to C-6 level. Five months later he was noted to have bilateral, asymmetric pupillary mydriasis precipitated by elevation and stretch of an arm or leg. Pharmacologic pupillary testing and ciliospinal reflex responses suggested that the oculosympathetic pathways were intact. Computed tomographic myelography using metrizamide disclosed a posttraumatic syringomyelic cyst at C-4. This pupillary phenomenon has been termed oculosympathetic spasm, and we reviewed four previous reports. While the cause of oculosympathetic spasm remains speculative, it may represent a localized form of autonomic hyperreflexia.
一名23岁男性，因机动车事故导致颈椎脊髓损伤，损伤平面在C-4至C-6水平，出现四肢瘫。五个月后，发现他在抬高或伸展手臂或腿部时会诱发双侧不对称性瞳孔散大。药理学瞳孔测试和睫脊反射反应提示眼交感神经通路完整。使用甲泛葡胺的计算机断层脊髓造影显示C-4水平有创伤后脊髓空洞症囊肿。这种瞳孔现象被称为眼交感神经痉挛，我们回顾了之前的四份报告。虽然眼交感神经痉挛的病因仍属推测，但它可能代表一种局限性的自主神经反射亢进形式。
