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获得性单眼上视麻痹已为组织病理学和放射学证实是动眼神经核上纤维受损所致。本例临床特点和放射学所见均提示为核上性损害。据作者所知同时具有一侧眼球上视麻痹及对侧眼球下视麻痹表现的垂直性眼球运动障碍异常组织以前不曾报道过。 患者,女性,26岁,因突然出现垂直性复视、头晕、右口角无力入院。既往有房间隔缺损性心脏病史,心导管检查示血流双向分流。无神经系统疾病史。查体:视敏度和眼底正常,双瞳孔直径4mm,直间接对光反射存在。眼位正常,双上睑轻度下垂。双眼水平活动范围正常,向上或向下垂直运动出现复视。左眼下视运动不全,向左下运动时更为明显;右眼上视运动不全,在内收
Acquired monocular supraopia has been confirmed by histopathology and radiology as a result of impaired fiber in the oculomotor nucleus. The clinical features of this case and the findings of radiology suggest a nuclear damage. According to the knowledge of the author, abnormal vertical eyeball dysplasia, which has paralysis on one side and paralysis on the other side of the eye, has not been reported before. Patient, female, 26 years old, due to a sudden vertical diplopia, dizziness, unable to hospital right mouth spit. Past history of atrial septal defect heart disease, cardiac catheterization showed two-way flow diversion. No history of nervous system diseases. Physical examination: visual acuity and normal fundus, double pupil diameter 4mm, direct indirect light reflex exists. Normal eye position, double upper eyelid ptosis. Binocular level of normal range of activities, upward or downward vertical movement double diplopia. Left eye under visual acuity, left lower exacerbation of more obvious; right eye on the visual acuity, adduction