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糖尿病性缺血性视神经病变伴疼痛性眼肌麻痹

Ischaemic optic neuropathy with painful ophthalmoplegia in diabetes mellitus.

作者信息

Jabs D A, Miller N R, Green W R

出版信息

Br J Ophthalmol. 1981 Oct;65(10):673-8. doi: 10.1136/bjo.65.10.673.

DOI:10.1136/bjo.65.10.673
PMID:7317318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1039635/
Abstract

Two patients with mild, adult-onset diabetes mellitus developed a painful ophthalmoplegia and ipsilateral optic neuropathy that was relatively unresponsive to steroids. Histopathological study of the optic nerve of one patient revealed an extensive ischaemic infarct. There was ultimate recovery from the cranial nerve palsies in both patients and the optic neuropathy in one patient. Ischaemic polyneuropathy involving the cranial nerves may cause an orbital apex/cavernous sinus syndrome in patients with diabetes mellitus.

摘要

两名成年起病的轻度糖尿病患者出现了疼痛性眼肌麻痹和同侧视神经病变，对类固醇治疗反应相对不佳。对其中一名患者的视神经进行组织病理学研究发现广泛的缺血性梗死。两名患者的颅神经麻痹最终均恢复，一名患者的视神经病变也恢复。累及颅神经的缺血性多发性神经病可能导致糖尿病患者出现眶尖/海绵窦综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/c86738c58a79/brjopthal00190-0028-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/2a253d34225e/brjopthal00190-0026-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/ad4115e79d85/brjopthal00190-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/11e1eb5aaa41/brjopthal00190-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/028ba78c863c/brjopthal00190-0028-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/e28d30cc0a5b/brjopthal00190-0028-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/9e040a0b6961/brjopthal00190-0028-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/c86738c58a79/brjopthal00190-0028-d.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/2a253d34225e/brjopthal00190-0026-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/180541ade7f7/brjopthal00190-0026-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/ad4115e79d85/brjopthal00190-0027-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/11e1eb5aaa41/brjopthal00190-0027-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/028ba78c863c/brjopthal00190-0028-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/e28d30cc0a5b/brjopthal00190-0028-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/9e040a0b6961/brjopthal00190-0028-c.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd61/1039635/c86738c58a79/brjopthal00190-0028-d.jpg

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引用本文的文献

1
Histopathologic studies of ischemic optic neuropathy.缺血性视神经病变的组织病理学研究。
Trans Am Ophthalmol Soc. 2000;98:203-20; discussion 221-2.
2
Computerised axial tomography and magnetic resonance scanning in the Tolosa-Hunt syndrome.托洛萨-亨特综合征的计算机断层扫描和磁共振成像
Br J Ophthalmol. 1988 Apr;72(4):299-302. doi: 10.1136/bjo.72.4.299.

本文引用的文献

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Tolosa-Hunt syndrome: one cause of painful ophthalmoplegia.托洛萨-亨特综合征：疼痛性眼肌麻痹的一个病因。
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