A acute pontine infarction with one-and-a-half syndrome as the manifestation: A case report.
| Autor: | Fu J; The College of Clinical Medicine 2, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou Province, China.; The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou Province, China., Yang H; The Second Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou Province, China., Liao S; The College of Clinical Medicine 2, Guizhou University of Traditional Chinese Medicine, Guiyang, Guizhou Province, China. |
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| Jazyk: | angličtina |
| Zdroj: | Medicine [Medicine (Baltimore)] 2024 Aug 02; Vol. 103 (31), pp. e39144. |
| DOI: | 10.1097/MD.0000000000039144 |
| Abstrakt: | Rationale: Sudden ocular dyskinesia is usually associated with ophthalmic diseases and rarely with cerebrovascular diseases. This is a rare case of a patient with a sudden onset of ocular dyskinesia due to occlusion of the anterior inferior cerebellar artery and the spiral modiolar artery. This article describes eye movement disorders associated with cerebrovascular disease, aiming to improve our understanding of cerebrovascular diseases and improve the ability of early diagnosis and differential diagnosis. Patient Concerns: A 52-year-old man presented with acute pontine cerebral infarction 2 days before presentation. The main symptoms were the inability to adduct and abduct the left eyeball, the ability to abduct but not adduct the right eyeball, and horizontal nystagmus during abduction. Cranial computed tomography in our emergency department suggested cerebral infarction, and magnetic resonance imaging examination after admission confirmed the diagnosis of acute pontine cerebral infarction. Diagnosis: This patient was ultimately diagnosed with acute pontine cerebral infarction. Interventions: He received aspirin, clopidogrel, and butylphthalide, as well as acupuncture and Chinese herbal medicine. Outcomes: After 10 days of treatment, the patient's paralysis of the eye muscles improved significantly. Lessons: Eye movement disorders are sometimes an early warning sign of impending vertebrobasilar ischemic stroke. Patients with acute ischemic stroke who have early detection of oculomotor disturbances should be promptly imaged, as missed diagnosis may lead to serious consequences or even death. It provided us with a new diagnostic idea. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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