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除了后交通动脉瘤和颅外伤引起的动眼神经损伤常有错位再生现象外,其他者罕见。本文报告1例无任何原因发生的动眼神经错位再生。患者男性38岁,突感全身不适、右眶周剧痛,2日后出现复视,并有右上睑下垂,尔后10天右侧瞳孔进行性散大无对光反应,右眼外肌和眼内肌麻痹,外斜视;右眼内直肌和上下直肌全部麻痹,滑车神经和外展神经正常;角膜反射存在,其他检查包括颈内动脉和椎动脉造影、CT检查均正常。 3个月后患者出现动眼神经再生征象,表现眼睑抽动和眶周刺痛感,6个月内提上睑肌功能恢复,但瞳孔仍散大,无对光反应,右上睑有部分
In addition to posterior communicating aneurysms and cranial injuries caused by oculomotor injury often dislocation regeneration phenomenon, the other rare. This article reports one case of oculomotor dislocation regeneration without any cause. Male 38-year-old patient, sudden sensation of general malaise, right orbital week pain, diplopia after 2 days, and right upper eyelid ptosis, 10 days after the pupil on the right side of the proliferation of non-light reaction, right eye and muscle Muscle paralysis and exotropia. The right rectus and superior and inferior rectus muscles were all paralyzed, the trochlear nerve and abducens were normal, and corneal reflex existed. Other examinations included internal carotid artery and vertebral artery angiography and CT examination were normal. 3 months after the patient showed signs of oculomotor nerve regeneration, the performance of eyelid twitching and periorbital tingling, levator muscular function recovered within 6 months, but the pupil is still scattered, no light reaction, part of the right upper eyelid