Miller-Fisher증후군과 동반된 양쪽 거짓-신경핵사이 눈근육마비
Miller-Fisher Syndrome Presenting with Bilateral Pseudo-Internuclear Ophthalmoplegia
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초록
Bilateral internuclear ophthalmoplegia (INO) refers to a specific gaze abnormality of bilateral adduction deficits, often accompanied by dissociated abducting nystagmus, caused by medial longitudinal fasciculus lesions usually due to multiple sclerosis or stroke. We report a 63-year-old man with clinical features of Miller-Fisher syndrome (MFS), consisting of ataxia, areflexia, and external ophthalmoplegia which mimicked bilateral-INO without an identifiable central lesion. Although bilateral adduction deficits are usually caused by central lesions, peripheral nervous damage by MFS is needed to be considered.
Abstract
Bilateral internuclear ophthalmoplegia (INO) refers to a specific gaze abnormality of bilateral adduction deficits, often accompanied by dissociated abducting nystagmus, caused by medial longitudinal fasciculus lesions usually due to multiple sclerosis or stroke. We report a 63-year-old man with clinical features of Miller-Fisher syndrome (MFS), consisting of ataxia, areflexia, and external ophthalmoplegia which mimicked bilateral-INO without an identifiable central lesion. Although bilateral adduction deficits are usually caused by central lesions, peripheral nervous damage by MFS is needed to be considered.
참고문헌 (10)
- Kim JS, "Teaching neuroimage: wall-eyed bilateral internuclear ophthalmoplegia (WEBINIO) from midbrain infarction", Neurology, 70, pp.e35~ (2008)[DOI]
- Nigrovic LE, "Correction of cerebrospinal fluid protein for the presence of red blood cells in children with a traumatic lumbar puncture", J Pediatr, 159, pp.158~159 (2011)[DOI]
- Sandler RD, "Miller-fisher syndrome: Is the ataxia central or peripheral?", Cerebellum Ataxias, 2, pp.3~ (2015)[DOI]
- Aranyi Z, "Miller fisher syndrome: brief overview and update with a focus on electrophysiological findings", Eur J Neurol, 19, pp.15~20 (2012)[DOI]
- Lee SH, "Acute ophthalmoplegia (without ataxia) associated with anti-GQ1b antibody", Neurology, 71, pp.426~429 (2008)[DOI]
- 김영신, "양측 가성-핵간안근마비 증상으로 발현한 중증근무력증", 대한신경과학회지, 29(2), pp.145~147 (2011), 대한신경과학회
- Diamond S, "Pseudo-internuclear oculomotor ophthalmoplegia secondary to Guillain-Barre polyneuronitis simulating myasthenia gravis in a air transport pilot", Aviat Space Environ Med, 46, pp.204~207 (1975)
- Ito K, "Bilateral pseudo-internuclear ophthalmoplegia in myasthenia gravis", ORL J Otorhinolaryngol Relat Spec, 59, pp.122~126 (1997)[DOI]
- Khanna S, "Ocular myasthenia revisited: Insights from pseudo-internuclear ophthalmoplegia", J Neurol, 254, pp.1569~1574 (2007)[DOI]
- Neugebauer H, "Differentiation of internuclear ophthalmoplegia and myasthenic pseudo-internuclear ophthalmoplegia by subjective visual vertical", Aktuelle Neurologie, 34, pp.795~ (2007)