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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Vertical One-and-a-Half Syndrome Due to Metastatic Spindle Cell Carcinoma of the Lung
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Vertical One-and-a-Half Syndrome Due to Metastatic Spindle Cell Carcinoma of the Lung

机译：由于肺部转移梭形细胞癌，垂直单综合征

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摘要

A 72-year-old woman was seen in consultation for new-onset intermittent binocular vertical diplopia. Her past medical history was significant for metastatic spindle cell carcinoma of the lung with multiple brain metastases. On examination, she was found to have a supranuclear upgaze and right infraduction palsy, consistent with a vertical one-and-a-half syndrome (Figure 1). Magnetic resonance imaging (MRI) of the brain with contrast was performed, and this revealed a new enhancing mass involving the right midbrain and diencephalon, consistent with a new metastasis (Figure 2). At 5-week follow-up, she had progressed to have both complete up- and downgaze supra-nuclear palsies.
机译：一名72岁女性因新发间歇性双眼垂直复视而就诊。她过去的病史对伴有多发性脑转移的肺梭形细胞癌具有重要意义。在检查中，她被发现有核上仰视和右下神经麻痹，与垂直1.5综合征一致（图1）。对大脑进行了磁共振成像（MRI），并进行了对比，结果显示右中脑和间脑出现了新的增强肿块，与新的转移灶一致（图2）。在5周的随访中，她出现了完全的上核麻痹和下核麻痹。

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