Sebestyén J
Klin Monbl Augenheilkd. 1976 Jul;169(1):50-60.
The author discussed the increase in the frequency of traumatic paralyses of the ocular muscles, and reported 6 cases of inferior oblique muscle paresis caused by local blunt or sharp traumas (haematoma, contusion, rupture, incarceration) and one case of traumatic Brownian pseudo-paralysis. The localisation of the injuries in 3 cases was on the inferior temporal part and in the other 3 cases on the superior part of the bulbar conjunctiva. Atypical horizontal deviation and characteristic vertical deviation, torsion and torticollis were observed in the majority of cases. One patient recovered spontaneously. 3 patients became asymptomatic after correction by prisms and one after recession of contralateral superior rectus muscle. The symptoms remained unchanged in the case of a "blow out" fracture (in spite of operation) and a Brown's syndrome (without treatment).
作者讨论了眼肌外伤性麻痹发生率的增加,并报告了6例因局部钝性或锐性创伤(血肿、挫伤、破裂、嵌顿)导致的下斜肌麻痹病例以及1例外伤性布朗氏假性麻痹病例。3例损伤位于颞下部分,另外3例位于球结膜上部。大多数病例观察到非典型水平偏斜和特征性垂直偏斜、扭转及斜颈。1例患者自发恢复。3例患者经棱镜矫正后无症状,1例在对侧上直肌后徙术后无症状。1例“爆裂”骨折患者(尽管接受了手术)和1例布朗综合征患者(未治疗)症状未改变。