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"接續發生"之兩側外旋神經麻痺―病例報告
Sequential Bilateral Abducens Palsy-A Case Report
摘要
本篇報告一例28歲男性，因左眼內斜視引起複視求診。其症候持續，曾作電腦斷層檢查但並無特別發現。之後左眼內斜視緩解至消失。一個月之後右眼內斜視出現。此時核磁共振及電腦斷層影像檢查，顯示有一顱底斜坡(clivus)的腫瘤壓迫橋腦。經外科手術局部切除後複視消失，眼位正常。病理切片證實為一罕見之脊索瘤(chordoma)。
關鍵字
無資料並列摘要
A 28 year-old male patient, who suffered from binocular diplopia, was diagnosed as left abducens palsy with esotropia of 30 prism diopters. The condition improved gradually after supportive treatment and ortho position was reached 5 months later. Series ENT consultation revealed no NPC. myasthenia Gravis was ruled out. Blood count, liver function test, renal function test, brain CT showed no specific related cause. Unfortunately diplopia recurred after another 1 month. This time, it was right abducens palsy with esotropia of 40 prism diopters. Brain CT and MRI revealed a clival lesion compressing the pons. The pathology proved to be a chordoma.
延伸閱讀
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