Quint D J, Cornblath W T, Trobe J D
Department of Radiology, University of Michigan Hospitals, Ann Arbor 48109-0030.
AJNR Am J Neuroradiol. 1993 Sep-Oct;14(5):1200-2.
The authors report a patient presenting with a 1-week history of paresis of upward gaze as his initial manifestation of demyelinating disease. They stress that: 1) multiple sclerosis can present as Parinaud syndrome (paralysis of upward gaze); and 2) it is important to rule out a non-contour-deforming intraaxial midbrain lesion if a posterior third ventricle or pineal region mass is not identified on screening studies in these patients.
作者报告了一名患者，其以向上凝视麻痹1周的病史作为脱髓鞘疾病的初始表现。他们强调：1）多发性硬化可表现为帕里诺综合征（向上凝视麻痹）；2）如果在这些患者的筛查研究中未发现第三脑室后部或松果体区肿块，排除轴内中脑无轮廓变形病变很重要。
