Anzai T, Uematsu D, Takahashi K, Katayama T
Department of Neurology, Urawa Municipal Hospital, Mimuro.
Intern Med. 1994 Apr;33(4):248-51. doi: 10.2169/internalmedicine.33.248.
A 53-year-old patient with Guillain-Barré syndrome preceded by herpes simplex virus infection developed bilateral tonic pupils with light-near dissociation. Pharmacological tests for pupils suggested postganglionic involvement of the parasympathetic and sympathetic nerves. A demyelinating process of peripheral autonomic nerves was suspected to be the cause of the tonic pupils and autonomic dysfunction.
一名53岁的患者,在感染单纯疱疹病毒后患上格林-巴利综合征,出现双侧强直性瞳孔且伴有光近反射分离。瞳孔的药理学测试提示副交感神经和交感神经节后受累。外周自主神经的脱髓鞘过程被怀疑是强直性瞳孔和自主神经功能障碍的病因。