Cunningham E T, Good W V
Department of Ophthalmology, School of Medicine, University of California, San Francisco 94143.
J Neuroophthalmol. 1994 Mar;14(1):21-3.
We describe a 34-year-old man with acute, nontraumatic inferior branch oculomotor nerve palsy. Complete ophthalmologic, neurologic, and systemic examinations were otherwise normal. The oculomotor nerve palsy resolved, but the patient subsequently developed bilateral upper extremity numbness and painful dysesthesias in the distribution of the median nerves. These observations suggest that inferior branch oculomotor nerve palsy, although uncommon, may occur as part of a more generalized neurologic disorder, presumed in our patient to be either vasculitic or demyelinating in nature.
我们描述了一名34岁男性，患有急性、非创伤性动眼神经下支麻痹。其他全面的眼科、神经科和全身检查均正常。动眼神经麻痹症状消失，但患者随后出现双侧上肢麻木以及正中神经分布区域的疼痛性感觉异常。这些观察结果表明，动眼神经下支麻痹虽然不常见，但可能是更广泛的神经系统疾病的一部分，在我们的患者中推测其本质为血管炎性或脱髓鞘性。
