脑桥梗死致后核间性眼肌麻痹一例  

Posterior internuclear ophthalmoplegia as a sign of pons infarction: a case report

作　　者：陈洁[1] 胡望望 冯晓文 陈露芸 张增瑞 邵蓓[1] Chen Jie;Hu Wangwang;Feng Xiaowen;Chen Luyun;Zhang Zengrui;Shao Bei(Department of Neurology,First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000, China)

机构地区：[1]温州医科大学附属第一医院神经内科,浙江温州325000

出　　处：《中华神经科杂志》2019年第1期49-51,共3页Chinese Journal of Neurology

摘　　要：后核间性眼肌麻痹是一种少见的眼球水平同向运动障碍。我们分析了1例急性脑桥梗死引起的后核间性眼肌麻痹,并回顾文献,与常见的多发性硬化、脑桥肿瘤等进行鉴别诊断,通过详细的神经系统检查、实验室指标、影像学检查等明确病因。脑桥梗死是引起后核间性眼肌麻痹的病因之一,症状轻者易误诊。Posterior internuclear ophthalmoplegia is a rare sign of pons infarction. Due to its mild clinical symptoms, it is easily misdiagnosed. In this article, we report a case of posterior internuclear ophthalmoplegia caused by pons infarction, discuss the causes of misdiagnosis and hope to attract the attention of doctors. By analyzing the clinical features of the case and reviewing the literatures, we try to differentiate the disease from multiple sclerosis, pons tumors and other diseases. The diagnosis was confirmed with thorough physical examination, laboratory test and imaging examination. Posterior internuclear ophthalmoplegia is a sign of pons infarction.

关 键 词：眼球运动障碍 脑干梗塞 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R777.45[医药卫生—临床医学]