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丘脑病变真的会导致垂直凝视麻痹吗?

Do thalamic lesions really cause vertical gaze palsies?

作者信息

Siatkowski R M, Schatz N J, Sellitti T P, Galetta S L, Glaser J S

机构信息

Bascom Palmer Eye Institute, Philadelphia, Pennsylvania.

出版信息

J Clin Neuroophthalmol. 1993 Sep;13(3):190-3.

PMID:8106645
Abstract

Two patients with thalamic infarctions presented with vertical gaze palsies. Magnetic resonance imaging (MRI) demonstrated extension of the lesions into the upper midbrain. A common vascular supply to both areas, and the inability of computed tomography (CT) scans to adequately assess posterior fossa structures, necessitate MRI of the mesencephalon in the assessment of all patients with vertical gaze dysfunction. These cases shed further doubt regarding a specific role of the thalamus in control of vertical eye movements.

摘要

两名患有丘脑梗死的患者出现垂直凝视麻痹。磁共振成像(MRI)显示病变延伸至中脑上部。这两个区域有共同的血管供应,且计算机断层扫描(CT)无法充分评估后颅窝结构,因此在评估所有垂直凝视功能障碍患者时,需要对中脑进行MRI检查。这些病例进一步质疑了丘脑在控制垂直眼球运动中的特定作用。

相似文献

1
Do thalamic lesions really cause vertical gaze palsies?丘脑病变真的会导致垂直凝视麻痹吗?
J Clin Neuroophthalmol. 1993 Sep;13(3):190-3.
2
[Supranuclear vertical gaze palsy: bilateral thalamo-mesencephalic lesions demonstrated by MRI].[核上性垂直凝视麻痹:MRI显示双侧丘脑-中脑病变]
Rinsho Shinkeigaku. 1989 Apr;29(4):517-9.
3
Bilateral paramedian thalamic infarction: a distinct but poorly recognized stroke syndrome.双侧丘脑旁正中梗死:一种独特但认识不足的卒中综合征。
Q J Med. 1992 Jan;82(297):63-70.
4
[Clinical aspects of brainstem infarction].[脑干梗死的临床方面]
Rinsho Shinkeigaku. 1990 Dec;30(12):1291-300.
5
[A case of transient vertical gaze palsy following right thalamic and midbrain infarction].[1例右侧丘脑及中脑梗死继发短暂性垂直凝视麻痹]
No To Shinkei. 1993 Nov;45(11):1055-9.
6
[The one and a half vertical syndrome as the only evidence of bilateral thalamo-subthalamic infarction].[以一侧半垂直综合征作为双侧丘脑 - 底丘脑梗死的唯一证据]
Rev Neurol. 1998 Jul;27(155):77-9.
7
Specificity of "peering at the tip of the nose" for a diagnosis of thalamic hemorrhage.“凝视鼻尖”对丘脑出血诊断的特异性。
Arch Neurol. 2004 Mar;61(3):417-22. doi: 10.1001/archneur.61.3.417.
8
Vertical gaze paralysis and intermittent unresponsiveness in a patient with a thalamomesencephalic stroke.一名丘脑间脑性卒中患者出现垂直凝视麻痹和间歇性无反应。
J Neuroophthalmol. 1995 Dec;15(4):230-5.
9
[A case of vertical gaze palsy associated with a unilateral infarct in the thalamo-mesencephalic junction on MR imaging].[一例与丘脑-中脑交界处单侧梗死相关的垂直凝视麻痹病例的磁共振成像表现]
Rinsho Shinkeigaku. 1994 Apr;34(4):356-60.
10
[Complex eye movement disturbance in thalamic and mesencephalic infarcts].[丘脑和中脑梗死中的复杂眼球运动障碍]
Ideggyogy Sz. 2006 May 20;59(5-6):193-200.

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1
Intermittent Vertical Diplopia as a Rare Manifestation of a Rare Cerebral Infarct: Artery of Percheron Ischemic Infarct and Sidelights on the Phenotypic Variability of Thalamic Ocular Disorders.间歇性垂直性复视为罕见脑梗死的罕见表现:大脑后动脉丘脑穿通支缺血性梗死及丘脑眼部疾病表型变异性的旁注
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A case report of bilateral paramedian thalamic and occult midbrain infarctions without disturbance of consciousness.双侧丘脑旁正中及隐匿性中脑梗死且无意识障碍的病例报告
Neurol Sci. 2015 Aug;36(8):1511-3. doi: 10.1007/s10072-015-2128-y. Epub 2015 Mar 13.