Slyman J F, Kline L B
Neurology. 1981 Feb;31(2):196-8. doi: 10.1212/wnl.31.2.196.
Complaining only of vertical diplopia, a 34-year-old woman had pupillary light-near dissociation, upward gaze paresis, convergence-retraction nystagmus, and skew deviation. Cranial computerized tomography excluded a space-occupying lesion. Additional history and examination established the diagnosis of clinically definite multiple sclerosis. Dorsal midbrain syndrome due to multiple sclerosis rare.
一名34岁女性仅主诉垂直性复视,伴有瞳孔光近反射分离、向上凝视麻痹、集合-退缩性眼球震颤和斜视。头颅计算机断层扫描排除了占位性病变。进一步的病史和检查确诊为临床确诊的多发性硬化症。多发性硬化症所致的中脑背侧综合征罕见。