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동측 안구의 핵간안근마비와 말초성 안면신경마비를보인 증례: 일곱반증후군

Presenting Internuclear Ophthalmoplegia with Peripheral Type Facial Palsy: Seven-and-a-Half Syndrome

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주제분류신경과학

초록

A 49-year-old male presented with horizontal binocular diplopia without facial pain or skin lesion. Limitation of medial gaze in the left eye was revealed on neurological examination, which is accompanied by peripheral facial nerve palsy ipsilaterally. The diagnosis had been made based on the diffusion restriction lesion of left pontine tegmentum. We may denominate a “seven-and-a-half syndrome” and clinician should maintain a high level of awareness of the various syndromes associated with pontine lesions

Abstract

A 49-year-old male presented with horizontal binocular diplopia without facial pain or skin lesion. Limitation of medial gaze in the left eye was revealed on neurological examination, which is accompanied by peripheral facial nerve palsy ipsilaterally. The diagnosis had been made based on the diffusion restriction lesion of left pontine tegmentum. We may denominate a “seven-and-a-half syndrome” and clinician should maintain a high level of awareness of the various syndromes associated with pontine lesions

참고문헌 (8)

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  5. Eggenberger E, "Eight-and-a-half syndrome : one-and-a-half syndrome plus cranial nerve VII palsy", J Neuroophthalmol, 18, pp.114~116 (1998)
  6. 김현석, "교뇌경색에서 발생한 편측 말초안면마비", 대한신경과학회지, 35(2), pp.89~91 (2017), 대한신경과학회[DOI]
  7. Anderson CA, "One and one-half syndrome with supranuclear facial weakness : magnetic resonance imaging localization", Arch Neurol, 56, pp.1509~1511 (1999)
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