橋腦病灶所引起之水平眼球運動異常－臨床與解剖之關連

Horizontal Eye Movement Disorders Resulting from Pontine Lesions-Clinical-Anatomic Correlations

杜志強(Chih-Cheung Tu) ； 周秉義(Ping-I Chou) ； 李驊(Hwa Lee)

《中華民國眼科醫學會雜誌》 34卷2期 (1995/06) Pp. 199-210

https://doi.org/10.30048/ACTASOS.199506.0009

摘要

因橋腦病灶引起之水平運動異常在神經眼科門診時常可見。而臨床上對眼球運動障礙之詳細評估及分析對橋腦病灶的定位非常重要。
本文收集各種不同原因橋腦病灶所引起之水平眼球運動障礙，包括：單、雙側核間眼肌麻痺，麻痺性橋腦外斜視（一又二分之一症候群），雙側共軛水平運動麻痺等病例，並用最簡單，快速的方法及檢查，將其加以分類，並將病灶加以定位；且每個病例均用電腦斷層(computerized tomography, CT)或核磁共振攝影(magnetic resonance imaging, MRI)加以對照並分析，以探討此法之實用性。

並列摘要

Disorders of horizontal eye movements resulting from pontine lesions are frequently encountered in neuro-ophthalmologist's clinics. Careful evalution of ocular motility is critial in localization of brainstem lesions.
We collected different kinds of horizontal eye movement disorders resulting from pontine lesions such as unilateral and bilateral internuclear ophthalmoplegia, paralytic pontine exotropia (one-and-a half syndrome), and bilateral conjugate gaze palsy.
The clinical pictures, radio-images including computerized tomography and magnetic resonance imaging are presented and correlated to functional anatomy of polls.

並列關鍵字

Paramedian Pontine Reticular Formation ； Medial Longitudinal Fasciculus ； Internuclear Ophthalmoplegia ； Paralytic Pontine Exotropia