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[两例儿童动眼神经下支麻痹]

[Two cases of inferior branch palsy of the oculomotor nerve in children].

作者信息

Matsuda A, Chin S, Ohashi T

机构信息

Department of Ophthalmology, Hokkaido University School of Medicine, Japan.

出版信息

Nippon Ganka Gakkai Zasshi. 1995 Jul;99(7):861-5.

PMID:7661052
Abstract

Two cases of inferior branch palsy of the oculomoter nerve in children are reported. A Six-year-old and a 14-year-old child had diplopia. Adduction and depression were restricted and mydriasis of the affected eye were observed. There were no restrictions on elevation. Ptosis was absent. They were diagnosed as having inferior branch palsy of the oculomotor nerve. Neurological examinations and diagnostic imagings showed no other abnormalities. Herpes simplex and influenza antibody titer were high in both cases. Oral steroid treatment was given. The eye position and movement recovered within 3 months in both cases. But the light reflexes of the affected eye remained diminished and light-near dissociation were observed. These findings have not changed for two years.

摘要

报告了2例儿童动眼神经下支麻痹病例。一名6岁和一名14岁儿童出现复视。患眼内收和下转受限,且观察到瞳孔散大。上转不受限。无眼睑下垂。他们被诊断为动眼神经下支麻痹。神经学检查和诊断性影像学检查未显示其他异常。两例患者单纯疱疹和流感抗体滴度均较高。给予口服类固醇治疗。两例患者的眼位和眼球运动在3个月内均恢复。但患眼光反射仍减弱,且观察到光近反射分离。这些表现两年内未改变。

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