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核间性眼肌麻痹,临床少见,易被忽视。我们遇到2例,现结合有关文献,分析如下。 例1 患者女,60岁。因无任何原因头部阵发性隐痛,四肢活动力弱3天而入院。平素健康,无特殊病史。查体:侧视时右眼不能内收,辐辏运动存在,左眼可见持续50秒钟的水平样震颤,其它神经系统正常。脑脊液(CSF)检查,CT脑扫描以及有关的辅助检查均未见异常。临床诊断:核间性眼肌麻痹。经改善脑微循环,扩溶等综合治疗1个月,治愈出院。
Intraocular ophthalmoplegia, clinical rare, easily overlooked. We encountered two cases, are combined with the relevant literature, analysis is as follows. Example 1 Female patient, 60 years old. For no reason the head paroxysmal pain, limb weakness and admission 3 days weak. Usually healthy, no special history. Examination: Lateral right eye can not be adducted, convergence movement exists, the left eye can see the level of 50 seconds sustained tremor, the other normal nervous system. Cerebrospinal fluid (CSF) examination, CT brain scan and related auxiliary examination showed no abnormalities. Clinical diagnosis: nuclear ophthalmoplegia. After the improvement of brain microcirculation, such as comprehensive treatment of the expansion of dissolved 1 month, cured and discharged.