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核间性眼肌麻痹,临床少见,易被忽视,我们遇到2例,现结合有关文献,分析如下。例1,患者女,60岁。因无任何原因头阵发性隐痛,肢体活动力弱3天而入院。平素健康,无特殊病史。入院后查体阳性所见:侧视时右眼不能内收,辐(?)运动存在,左眼可见持续50秒钟的水平样眼震,其它神经系统正常。脑脊液(CSF)检查,CT脑扫描以及有关的辅助检查均未见异常。临床诊断:核间性眼肌麻痹。经改善脑微循环、扩容等综合治疗1月,临床治愈出院。例2,患者男,62岁。因情绪改变饮白酒300g
Intercostal ophthalmoplegia, clinical rare, easily overlooked, we encountered two cases, are combined with the relevant literature, analysis is as follows. Example 1, female patient, 60 years old. For no reason head paroxysmal pain, physical weakness 3 days and admitted to hospital. Usually healthy, no special history. Physical examination after admission seen: the right side of the eye can not be adducted, spoke (?) Exist in the left eye can be seen for 50 seconds horizontal nystagmus, the other normal nervous system. Cerebrospinal fluid (CSF) examination, CT brain scan and related auxiliary examination showed no abnormalities. Clinical diagnosis: nuclear ophthalmoplegia. After the improvement of brain microcirculation, expansion and other comprehensive treatment in January, the clinical cure and discharge. Example 2, male patient, 62 years old. Changes in mood to drink liquor 300g