Hunnewell J, Miller N R
Neuro-Ophthalmology Unit of the Wilmer Eye Institute, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
J Neuroophthalmol. 1998 Dec;18(4):277-80.
A 36-year-old woman exhibited slurred speech, progressive ataxia, blurred vision, and oscillopsia. Examination showed dysconjugate torsional nystagmus and bilateral internuclear ophthalmoplegia (INO). Further investigation revealed evidence of chronic toluene abuse. The neurologic findings in toluene abuse and the causes of bilateral INO are discussed.
一名36岁女性出现言语不清、进行性共济失调、视力模糊和视振荡。检查发现眼球扭转性眼球震颤和双侧核间性眼肌麻痹(INO)。进一步调查显示有长期滥用甲苯的证据。本文讨论了甲苯滥用的神经系统表现以及双侧INO的病因。