第三神经麻:双侧眼皮死,正常瞳孔和垂直双眼症的病例,多个内病变
Roxana M Dragomir1,2, Octavio Carranza-Rentería1, Marc A Swerdloff3
1Neurology, Florida Atlantic University Charles E. Schmidt College of Medicine, Boca Raton, USA.
Cureus
|October 28, 2025
概括
在患有内病变的患者中,双边死和混乱是具有挑战性的. 将临床发现与成像相结合,将病变局部化到中脑,有助于诊断.
科学领域:
- 神经学 神经学
- 神经眼科神经眼科
- 放射学 放射学是一门学科.
背景情况:
- 双边眼垂死是罕见的,在诊断上具有挑战性.
- 内病变可能会复杂化ptosis的诊断.
- 区分原因需要仔细的临床和成像相关性.
研究的目的:
- 为了呈现双边死病例与多个内病变.
- 为了说明定位病变的诊断挑战.
- 强调整合临床和成像数据的重要性.
主要方法:
- 一个68岁的老妇人的病例报告.
- 临床检查,排除结核病的常见原因.
- 神经成像 (MRI/CT) 用于识别内病变.
- 症状的相关性 (ptosis,双眼,混) 与成像发现.
主要成果:
- 患者出现了双边死,垂直双眼视和混乱.
- 图像检查显示背部中脑病变和双边额叶质量.
- 排除了常见的原因,如骨髓灰质炎.
- 症状局部化表明中脑损伤.
结论:
- 这一案例突出了双边死和内病变的罕见表现.
- 临床检查和神经成像对于准确的定位至关重要.
- 中脑病变应考虑在垂直双眼和没有瞳孔参与的死.
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