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作者分析了125例双侧展神经麻痹住院患者,并与同时期之143例单侧展神经麻痹病例作了比较。除常规检查外,针对各种可能性,使用了复视试验、头眼反射、变温刺激、艾宙酚试验、眼肌电图等多种方法。结果:双侧展神经麻痹组年龄分布广,但大于70岁者仅一例。展神经受累部位常不确切,3/4可能是周围性而非脑桥内的。许多患者有其它神经系体征和症状,1/4病例有其它颅神经受累。本组于发病后数周内常能明确病因。1/3患者之脑脊液异常,包括出血、炎症及压力增高,是展神经麻痹的直接原因。单一病因中最常见的是肿瘤(28例,表1)。感染病因中常为弥漫性脑膜炎(细菌性2,结核性1,梅毒性1,病毒性可能5),但3例有原发性脑膜旁细菌性损
The authors analyzed 125 patients with paralyzed BPH hospitalized and compared them with 143 patients with unilateral axonal paralysis during the same period. In addition to routine examination, for various possibilities, the use of diplopia test, head eye reflex, temperature stimulation, Icarotene test, eye electromyography and other methods. Results: Bilateral ZPA showed a wide range of age, but only one case was older than 70 years. The nerve involved is often imprecise, with 3/4 likely to be peripheral instead of pontine. Many patients have other neurological signs and symptoms, and 1 in 4 have other cranial nerve involvement. This group often clear cause within a few weeks after onset. 1/3 of patients with abnormal cerebrospinal fluid, including bleeding, inflammation and increased pressure, is the direct cause of nerve paralysis. The single most common cause of cancer is tumor (28 cases, Table 1). The etiology of infection is often diffuse meningitis (bacterial 2, tuberculous 1, syphilitic 1, viral 5), but 3 cases of primary meningeal bacterial damage