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麻痹性甲状腺肌病

Paretic thyroid myopathy.

作者信息

Hermann J S

出版信息

Ophthalmology. 1982 May;89(5):473-8. doi: 10.1016/s0161-6420(82)34775-2.

Abstract

Reports of vertical deviation in Graves' disease in recent years have always been associated with restrictive phenomena and positive forced duction testing, usually related to a tight inferior rectus. Two cases of medically proven Graves' diseased of ten-year duration are presented with increasing vertical disparity. Forced duction testing showed no restriction. Saccadic velocity tests using electro-oculography confirmed paresis of the inferior rectus in both cases. No cases of "true" vertical extraocular muscle paresis in chronic Graves' disease have been reported in the American literature.

摘要

近年来,有关格雷夫斯病垂直斜视的报告总是与限制性现象和强迫性牵拉试验阳性相关,通常与下直肌紧张有关。本文报告两例经医学证实病程达十年的格雷夫斯病患者,其垂直斜视度数逐渐增加。强迫性牵拉试验未显示受限。使用眼电图进行的扫视速度测试证实两例患者均存在下直肌麻痹。美国文献中尚未报道过慢性格雷夫斯病出现“真正的”垂直性眼外肌麻痹的病例。

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