论文部分内容阅读
作者报告1例隐球菌脑膜炎引致双侧外展神经麻痹及眼内肌麻痹,后者在文献上未曾报道过。患者女性,17岁,于1975年5月出现两颧部皮疹、脱发及关节疼痛。狼疮细胞阳性。肾活检呈弥漫的增殖性狼疮肾炎改变,遂诊为系统性红斑狼疮。经强的松及硫唑嘌呤治疗一年半后患者相继出现高热、烦燥、幻听、复视及视力模糊。检查:双侧视乳头水肿。瞳孔两侧扩大至6m.m.,对光反应迟钝,调节反应消失。双眼外展障碍,其余颅神经均正常。腰穿三
The authors report that 1 case of cryptococcal meningitis caused bilateral abducens nerve paralysis and intraocular muscle paralysis, the latter has not been reported in the literature. Female, 17 years old, with two zygomatic rashes, hair loss and joint pain in May 1975. Lupus cells positive. Renal biopsy was diffuse proliferative lupus nephritis change, then diagnosed with systemic lupus erythematosus. After a year and a half after prednisone and azathioprine treatment patients have high fever, irritability, auditory hallucinations, diplopia and blurred vision. Check: bilateral papilledema. Both sides of the pupil expanded to 6m.m., slow reaction to light, adjust the reaction disappeared. Eyes outreach obstacles, the rest of the cranial nerves are normal. Waist wear three