Neurology:大脑脚梗死引起的部分动眼神经麻痹

2020-03-24 佚名 脑血管病及重症文献导读

53岁,男性,因复视就诊。

53岁,男性,因复视就诊。

查体发现右眼睑下垂,右眼上视受限,内收、外展、下视和瞳孔光反应正常:

DWI 显示右侧大脑脚近中梗死:

动眼神经分为上下两部分,上部分支配上直肌和上睑提肌,下部分支配内直肌和下直肌、下斜肌和睫状神经节。

本病例为动眼神经部分麻痹,一种罕见的卒中表现。

原始出处:Kapoor G, Shah YD, Libman R. Teaching NeuroImages: Stroke presenting with isolated superior branch of cranial nerve III palsy. Neurology. 2020 Feb 4

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