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肉毒杆菌性眼肌麻痹。临床及眼动图观察

Botulin ophthalmoplegia. Clinical and oculographic observations.

作者信息

Hedges T R, Jones A, Stark L, Hoyt W F

出版信息

Arch Ophthalmol. 1983 Feb;101(2):211-3. doi: 10.1001/archopht.1983.01040010213005.

DOI:10.1001/archopht.1983.01040010213005
PMID:6824463
Abstract

Two patients with botulin ophthalmoplegia had rapid quivering eye motions during attempts to refixate laterally placed objects; these abnormal eye movements occurred in conjunction with a disjunctive limitation of range of eye movements. Oculographic examination showed that the quivering motions were composed of multiple hypometric saccades, many of which had subnormal and stuttering velocities. By blocking acetylcholine release into myoneural junctions, botulin toxin seems to limit the duration of saccadic burst innervation reaching ocular muscle.

摘要

两名肉毒杆菌性眼肌麻痹患者在试图重新注视侧向放置的物体时出现快速眼球颤动;这些异常眼动与眼球运动范围的分离性受限同时出现。眼动图检查显示,颤动运动由多个幅度不足的扫视组成,其中许多扫视速度低于正常且有卡顿。通过阻断乙酰胆碱释放到肌神经接头,肉毒杆菌毒素似乎限制了到达眼肌的扫视爆发性神经支配的持续时间。

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引用本文的文献

1
Ocular myasthenia revisited: insights from pseudo-internuclear ophthalmoplegia.再探眼肌型重症肌无力:来自假性核间性眼肌麻痹的见解
J Neurol. 2007 Nov;254(11):1569-74. doi: 10.1007/s00415-007-0591-y. Epub 2007 Aug 27.
2
Saccadic eye movements in essential blepharospasm.原发性眼睑痉挛中的眼球扫视运动。
J Neurol. 1990 Jul;237(4):226-9. doi: 10.1007/BF00314623.
3
Saccadic eye movements analysis in the early diagnosis of myasthenia gravis.重症肌无力早期诊断中的眼球扫视运动分析
Ital J Neurol Sci. 1991 Aug;12(4):389-95. doi: 10.1007/BF02335779.