神经病学与神经康复学杂志2023，Vol.19Issue(3)：79-83,5.DOI:10.12022/jnnr.2023-0116
脑桥点状梗死致前核间性眼肌麻痹1例
Anterior internuclear ophthalmoplegia caused by pontine punctate infarction:a case report
摘要
Abstract
Objective:To report and analyze the clinical and imaging features of a case of anterior internuclear ophthalmoplegia caused by pontine punctate infarction,in order to raise the attention of the clinical physician. Methods:Through in-depth analysis of a patient with anterior internuclear ophthalmoplegia caused by pontine point infarction,this study elucidates the mechanism of its clinical symptoms,enhances the anatomical understanding of various nerve fiber bundles in the brainstem,and guides clinical diagnosis and treatment. Results:A 67-year-old woman was admitted to hospital complaining of"feeling vertigo for more than 11 hours".Physical examination on admission revealed that she could not adduct her right eye,and she had nystagmus.Her head MRI indicated infarction of the right pontine.She had been diagnosed with pontine infarction and treated by aspirin,clopidogrel,atorvastatin,butylphthalide,betamethasone,and so on.The symptoms improved and the patient was discharged.After one month of follow-up,the patient's symptoms returned to normal. Conclusion:The structure of the brainstem is complex and precise,with frequent damage to adjacent nerve nuclei and fiber bundles.There are few reports of brainstem point like infarcts involving only the medial longitudinal fasciculus(MLF).Therefore,frontline doctors should enhance their understanding of the anatomy of various nerve fiber bundles in the brainstem,pay attention to clinical examination,and avoid misdiagnosis and missed diagnosis.关键词
脑桥梗死/前核间性眼肌麻痹/复视/头晕Key words
Pontine infarction/Anterior internuclear ophthalmoplegia/Diplopia/vertigo引用本文复制引用
洪云,姚小英,吴恒趋..脑桥点状梗死致前核间性眼肌麻痹1例[J].神经病学与神经康复学杂志,2023,19(3):79-83,5.基金项目
浦东社区缺血性脑血管病高危人群一体化质量管理体系的建设(PW2022E-01) （PW2022E-01）
宁波市杭州湾医院启航人才项目(WY-KL-QH-2021-013) Construction of integrated quality management system for high-risk groups of ischemic cerebrovascular disease in Pudong community(PW2022E-01) （WY-KL-QH-2021-013）
Ningbo Hangzhou Bay Hospital set sail talent project(WY-KL-QH-2021-013) （WY-KL-QH-2021-013）
