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桥脑麻痹性外斜视国内尚无报道。现将我们遇到的4例报道如下。 例1:男,59岁。头晕半年。2日前突然不省人事约半小时。入院当天清晨突然又不省人事、遗尿。检查:血压100/7Q,昏迷,压眶呈去脑强直。瞳孔等大,光反应存在。右眼外斜,并有向右的水平眼震,左眼固定在中间位,不能内收与外展。玩偶眼试验左眼不能内收与外展,右眼略能内收,双眼能仰视与俯视。四肢肌张力增强,两侧Babinski(+)。颈软,脑脊液正常。临床诊断左侧桥脑梗塞。
Pacephaloplegic exotropia has not been reported in China. Now we have encountered four cases reported below. Example 1: Male, 59 years old. Dizzy half a year. 2 days ago unconsciously about half an hour. Early on the day of admission suddenly unconscious, enuresis. Check: blood pressure 100 / 7Q, coma, pressure orbital was tetanus. Pupil and other large, light reaction exists. Right eye diagonal, and to the right level of nystagmus, left eye fixed in the middle position, can not adduction and abduction. Doll’s eye test can not be adduced with the left eye and abduction, the right eye slightly adduction, eyes can look up and look down. Limb muscle tension increased, both sides Babinski (+). Neck soft, normal cerebrospinal fluid. Clinical diagnosis of left pontine infarction.