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Traumatic oculomotor nerve palsy.

机译:外伤性动眼神经麻痹。

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摘要

Traumatic isolated oculomotor nerve palsy is not common. Oculomotor nerve palsy without internal ophthalmoplegia (pupil sparing) is extremely rare. We report a case of this condition in a child. An 11-year-old boy was transferred to our hospital after a head injury in a traffic accident. Neuro-ophthalmic examination showed that the left eye had limited adduction, supraduction, and infraduction, incomplete convergence and left ptosis, but no internal ophthalmoplegia. Magnetic resonance imaging indicated mild bending of the ipsilateral oculomotor nerve at the posterior petroclinoid ligament. One month after injury, movement of the patient's eyes was normal on examination, but there was mild diplopia. The suggested mechanism of the oculomotor nerve palsy with pupil sparing in this case is stretching of the oculomotor nerve at the posterior petroclinoid ligament, maintaining an intact pupillomotor nerve.
机译:外伤性眼动神经麻痹并不常见。没有内部眼肌麻痹(瞳孔节省)的动眼神经麻痹极为罕见。我们在儿童中报告了这种情况。一名交通事故中头部受伤的11岁男孩被转移到我们医院。神经眼科检查显示,左眼的内收,超视和基础功能有限,会聚不完全和左上睑下垂,但没有内眼肌麻痹。磁共振成像显示在后石蒜样韧带处同侧动眼神经轻度弯曲。受伤后一个月,检查时患者的眼睛运动正常,但出现轻度复视。在这种情况下,瞳孔保留的动眼神经麻痹的建议机制是在后石蜡状韧带处延伸动眼神经,保持完整的瞳孔运动神经。

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