孤立的第三头骨神经麻在良性异常发病的头骨内高血压
Sureshkumar Vellingiri1, Sethuraj Selvaraj2, Vignessh Raveekumaran1
1Department of General Medicine, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth (Deemed to be University), Pondicherry, India.
BMJ case reports
|January 3, 2025
概括
异形性内高血压 (IIH) 可以导致视力问题. 这项案例研究突出了IIH在女性中呈现为孤立的眼运动神经麻的罕见实例.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 异常性内高血压 (IIH) 具有没有可识别的内病理的内压力升高的特征.
- 常见的IIH症状包括头痛,恶心,吐和视力障碍,如双眼视和视力模糊.
- 虽然第六神经麻在IIH中很常见,但第三神经麻是一种罕见的表现.
研究的目的:
- 报告一个独特的案例,一名50多岁的女性患有IIH二次的孤立眼运动神经麻.
- 强调IIH的非典型神经表现.
主要方法:
- 病例报告详细说明患者的神经和 fundus 检查.
- 诊断工作包括MRI,磁共振静脉学和CT扫描,以评估内压力并排除其他病理.
主要成果:
- 患者表现出右侧眼运动神经麻,包括瞳孔扩张,死和中间直肠麻.
- fundus 检查显示了 1 级的 papilledema.
- 图像检测证实内压升高,支持IIH的诊断.
结论:
- 这一案例强调了孤立的眼运动神经麻可能是IIH的罕见表现征兆.
- 临床医生应在无法解释的眼运动神经麻的差异诊断中考虑IIH,即使没有典型的IIH症状.
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