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眼偏视

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Of the binocular diplopia, there were 17 cases of strabismic diplopia and 2 cases of diplopia due to central fusional impairment. Of the cases with monocular diplopia, there were 4 cases resulted from operative complication and one case with congenital iridocoloboma.

结果 双眼复视19例中,斜视性复视17例,中枢融合障碍性复视2例;斜视性复视中,除3例为间歇性外斜视外,其余14例均有不同程度的眼肌运动障碍;单眼复视5例中,4例为手术后人工晶体偏位所致,1例为先天性下方虹膜缺损所致。

Methods The 201 cases in 1979~1996 were retrospectively summarized. The clinical features including chief complaints, sex distribution, age at first visit, laterality, type of presentation, ocular deviation in the primary position, refractive errors, amblyopia, globe retraction, change of the palpebral fissure, upshoot and downshoot in adduction, binocular single vision, and its associated ocular and non-ocular anomalies were analyzed.

自1979~1996年回顾性地总结了201例DRS,对它的临床特征,包括主诉、性别分布、初诊年龄、侧向状态、表现类型、原在位的眼位偏斜、屈光不正、弱视、眼球后退、睑裂改变、内转时眼球急速上转和下转、双眼单视及其伴随的眼部和非眼部异常等予以分析。

Sensory impairment and urinary dysfunction also had developed, and paraparesis persisted after the hypokalemia was corrected during hospitalization. An optokinetic nystagmus test showed bilateral sick waves and at the same time a cerebrospinal fluid analysis was normal. A blood examination disclosed borderline anti-nuclear antibodies and an elevated serum IgG level. Her cervical spinal cord showed mild swelling and contrast-enhancement when examined by magnetic resonance imaging. Neither a brain stem nor an optic nerve's lesion was found. Based on the above, acute transverse myelitis was diagnosed. All the symptoms present in the patient relieved gradually after 5-days of pulsed intravenous methylprednisolone therapy.

一50岁女性,因为眩晕、前额头痛、视力模糊、恶心、呕吐及两侧下肢无力而求诊,於低血钾矫正后,两侧下肢无力依然持续,并发生胸部以下感觉缺损及排尿困难等现象,视运动性眼振检查显示两侧波形障碍,脑脊液检查正常,血液学检查显示抗核酸抗体及血清IgG指数偏高,显影剂增强磁振造影显示颈段脊髓肿大且略为显影,并无脑干或视神经的病灶,诊断为急性横断性脊髓炎,给予静脉注射类固醇后症状逐渐缓解。

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