Title

因橋腦梗塞造成之單純垂直方向眼球運動麻痺

Translated Titles

Isolated Vertical Gaze Palsy Secondary to Pontine Infarction - A Case Report

DOI

10.6440/TZUCMJ.199812.0357

Authors

唐慧芬(Huei-Fen Tang);周介仁(Jieh-Ren Jou);蔡維中(Wei-Chung Tsai);林素玲(Shu-Ling Lin)

Key Words

垂直方向眼球運動麻痺 ; 橋腦梗塞 ; 垂直性複視 ; Vertical gaze palsy ; pontine infarction ; vertical diplopia

PublicationName

慈濟醫學雜誌

Volume or Term/Year and Month of Publication

10卷4期(1998 / 12 / 01)

Page #

357 - 362

Content Language

繁體中文

Chinese Abstract

我們報告一位以垂直方向眼球運動麻痺為臨床唯一表現,腦部核磁共振攝影(MRI)顯示橋腦上部梗塞,但中腦未受波及的病例。經由內科藥物的治療,病人在發病後一個月之內,眼球運動便完全恢復正常,複視現象亦完全消失。

English Abstract

We report the case of a 62-year-old man with isolated vertical gaze palsy which resulted from a pontine infarct.He had sudden loss of upward and downward gaze ablility, accompanied with binocular vertical diplopia. Ophthalmic examinations showed normal visual acuity, with no limitation of the lateral gaze. The results of a forced duction test were, nevertheless, normal. No other neurological deficits were noted. Brain magnetic resonance imaging revealed an upper pontine infarction without a midbranin infarct. The patient’s eye movements returned to normal and the vertical diplopia disappeared completely within a month after onset.

Topic Category 醫藥衛生 > 醫藥衛生綜合