论文部分内容阅读
目的 :探讨眼肌麻痹的病因及临床特点。方法 :对 4 8例眼肌麻痹患者的临床资料及头颅CT、MRI、脑脊液、血糖等检查结果进行回顾性分析。结果 :4 8例中 ,糖尿病 15例 (31.2 5 % ) ,血管性疾病 9例 (18.75 % ) ;痛性眼肌麻痹、颅内肿瘤各 7例(14 .5 8% ) ;前两者临床多表现为动眼神经不全性麻痹 ,其次为外展神经麻痹 ;后两者多为动眼神经、滑车神经、外展神经等多颅神经麻痹。其它少见的病因为重症肌无力、颅内炎症等。结论 :眼肌麻痹病因复杂 ,掌握各种病因所致眼肌麻痹的临床特点 ,及时完善有关辅助检查 ,避免误诊
Objective: To investigate the etiology and clinical features of ophthalmoplegia. Methods: The clinical data of 48 patients with ophthalmoplegia and the results of skull CT, MRI, cerebrospinal fluid and blood glucose were retrospectively analyzed. Results: Among the 48 cases, 15 cases (31.2%) had diabetes and 9 cases (18.75%) had vascular disease. Painful ophthalmoplegia and intracranial tumors were found in 7 cases (14.58% More performance of the oculomotor nerve paralysis, followed by outreach nerve paralysis; the latter two mostly oculomotor nerve, trochlear nerve, abducens nerve and other cranial nerve paralysis. Other rare causes of myasthenia gravis, intracranial inflammation. Conclusion: The causes of ophthalmoplegia are complex and the clinical features of ophthalmoplegia due to various etiologies are mastered. The relevant auxiliary examinations are promptly improved to avoid misdiagnosis