结节病所致孤立性动眼神经麻痹。

Isolated third nerve palsy due to sarcoidosis.

作者信息

Ueyama H, Kumamoto T, Fukuda S, Fujimoto S, Sannomiya K, Tsuda T

机构信息

Third Department of Internal Medicine, Oita Medical University, Japan.

出版信息

Sarcoidosis Vasc Diffuse Lung Dis. 1997 Sep;14(2):169-70.

PMID:9306509

Abstract

We present a 28-year-old man with isolated third nerve palsy as the initial manifestation of sarcoidosis. MRI demonstrated abnormal enhancement of the cisternal portion of the right third nerve. One month after steroid therapy, he showed almost complete recovery with resolution of the contrast enhancement on MRI. This patient illustrates the usefulness of enhanced MRI for detection of cranial nerve lesions of sarcoidosis.

摘要

我们报告一例28岁男性，以孤立性动眼神经麻痹作为结节病的初始表现。磁共振成像（MRI）显示右侧动眼神经脑池段异常强化。类固醇治疗1个月后，他几乎完全康复，MRI上的强化表现消失。该患者说明了增强MRI在检测结节病脑神经病变方面的作用。