两名患者下视麻痹的临床与影像学相关性研究

Paralysis of downgaze in two patients with clinical-radiologic correlation.

作者信息

Green J P, Newman N J, Winterkorn J S

机构信息

Department of Ophthalmology, Emory University School of Medicine, Atlanta, Ga.

出版信息

Arch Ophthalmol. 1993 Feb;111(2):219-22. doi: 10.1001/archopht.1993.01090020073026.

DOI:10.1001/archopht.1993.01090020073026

PMID:8431159

Abstract

Selective downgaze paralysis was correlated with discrete bilateral lesions at the mesencephalic-diencephalic junction in a 9-year-old girl following severe pneumococcal meningitis, and in a 64-year-old man who suffered an embolic infarction. Magnetic resonance imaging demonstrated bilateral lesions in the region of the rostral interstitial nucleus of the medial longitudinal fasciculus. Clinical-radiologic correlation allowed identification of the likely vascular cause in both patients.

摘要

一名9岁重症肺炎球菌脑膜炎女孩及一名64岁栓塞性梗死男性患者出现选择性下视麻痹，与中脑-间脑交界处的双侧离散性病变相关。磁共振成像显示内侧纵束嘴侧间质核区域存在双侧病变。临床与影像学的相关性使得能够确定两名患者可能的血管病因。