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題名 | 第一型阿諾.希阿利氏畸型伴隨向下眼球震顫--病例報告 |
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作 者 | 陳美齡; 蔡榮坤; | 書刊名 | 中華民國眼科醫學會雜誌 |
卷期 | 31:4 1992.12[民81.12] |
頁次 | 頁114-118 |
分類號 | 415.9、415.9 |
關鍵詞 | 第一型阿諾.希阿利氏畸型; 向下眼球震顫; 神經性疾病; Downbeat nystagmus; Arnold-chiari malformation type I; |
語文 | 中文(Chinese) |
中文摘要 | 本篇論文報告一個38歲的女性病例,因視覺跳動、視力模糊及頭暈而來 就診,檢查時發現雙眼對稱性向下眼球震顫併逆時針轉動,尤其側視時更明顯。 經電腦斷層檢查並未發現小腦、延腦-頸部交接處有任何病變,故再安排核磁共 振掃描檢查。核磁共振掃描顯示小腦扁桃體經枕骨大孔向下脫出至脊髓腔,診斷 為第一型阿諾.希阿利氏畸形(Arnold-Chiari malformation,type I)。病人隨即接受腦 神經外科手術行後腦窩減壓術,術後病人自覺症狀改善,但是向下眼球震顫依然 存在。 |
英文摘要 | Downbeat nystagmus (DBN) could be lound in many neurological disease including malformations, hereditary and acquired disorders. Lesions in most patients with DBN have been found in the medullocervical junction and the floor of the 4th ventricle. A 38-year-old female suffered from oscillopsia, progressive blurred vision and dizziness since April, 1991. She visited our OPD in February, 1992 and DBN was found. The CT and MRI showed Arnold Chiari malformation, type 1. She admitted to neurosurgical department to receive posterior fossa decompression surgery. After surgery, patient felt subjective improvement, but DBN did not improve. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。