上斜肌颤搐的研究进展  

Advances on the superior oblique myokymia

作　　者：冯张青 景丽萍 李俊红[1] Feng Zhangqing;Jing Liping;Li Junhong(Department of Strabismus and Pediatric Ophthalmology,Shanxi Province Eye Hospital,Shanxi 030002,China)

机构地区：[1]山西省眼科医院斜视与小儿眼科,030002

出　　处：《中华眼科医学杂志（电子版）》2023年第1期30-34,共5页Chinese Journal of Ophthalmologic Medicine(Electronic Edition)

基　　金：山西省卫生健康委员会科研项目(2020040)。

摘　　要：上斜肌颤搐(SOM)是一种罕见的单眼疾病,临床以高频、低幅及间歇的眼球震颤为特征,表现为振动幻视和垂直复视,但其发病机理尚不明确,不同学者提出不同假说,包括神经压迫假说和创伤后异常再生假说等。目前,国内对SOM研究极少,故笔者就该病的流行病学特点、发病诱因、临床表现、疾病体征、鉴别诊断及治疗方案进行综述,以增加临床眼科医师对该病的认知,减少漏诊与误诊。Superior oblique myokymia(SOM)is a rare monocular disorder.It is clinically characterised by high-frequency,low-amplitude,intermittent rotational nystagmus,as well as oscillopsia and vertical diplopia,but its exact pathogenesis is still unclear,and various scholars have proposed different hypotheses,including the nerve compression hypothesis and the post-traumatic abnormal regeneration hypothesis.At present,there are few studies on SOM in China.Therefore,the epidemiological features,aetiological factors,clinical manifestations,disease signs and differential diagnosis of the disease,as well as a treatment options were reviewed,which to improve clinical ophthalmologists′knowledge of the disease and reducing underdiagnosis and misdiagnosis.

关 键 词：上斜肌颤搐 振动幻视 垂直复视 发病机理 治疗选择 

分 类 号：R77[医药卫生—眼科]