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作者报道一例女性两眼水平运动突然完全丧失,核磁共振(NMR)发现脑室周围多发性病灶,提示多发性硬化(MS)。患者,女性,43岁,头痛、呕吐、畏光3周伴不规则间歇性复视,症状逐渐加重至两眼球固定4天入院。检查:两眼垂直联合运动已恢复,可稍向右侧水平注视,仍不能向左注视,会聚反射正常。眼头刺激,两侧水平联合运动幅度减小。轻度不协调步态。CT扫描正常。NMR扫描发现脑室周围多发病灶,提示MS。此外,于桥中脑水平导水管周围腹侧区还发现一病灶。脑干听觉诱发电位左侧潜伏期延长。CSF正常。眼水平运动开始恢复呈分离性麻痹,
The authors reported a sudden complete loss of horizontal movement in both women’s eyes, and nuclear magnetic resonance (NMR) findings of multiple lesions around the periventricular compartment suggesting multiple sclerosis (MS). Patient, female, 43 years old with headache, vomiting, photophobia 3 weeks with irregular intermittent diplopia, symptoms gradually aggravate until both eyes were fixed 4 days admitted. Check: vertical joint movement of both eyes has been restored, can be slightly to the right side of the level of attention, still can not look to the left, convergence reflex normal. Eye irritation, both sides of the level of joint exercise decreased. Mild inconsistent gait. CT scan is normal. NMR scan found multiple lesions around the periventricular ventricle, suggesting MS. In addition, a lesion was also found in the ventral region around the midbrain level aqueduct. Left brainstem auditory evoked potentials latency extension. CSF is normal. Eye horizontal movement began to recover was isolated paralysis,