核間麻痺
WordNet
- a condition marked by uncontrollable tremor
- affect with palsy
- become friends; act friendly towards (同)pal up, chum up
PrepTutorEJDIC
- 麻痺(まひ),中風 / …‘を'麻痺させる(paralyze)
- 《話》『友達』,仲間,親友 / (…と)仲よくなる《[『up』]『with』+『名』》
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- Isolated bilateral horizontal gaze palsy as first manifestation of multiple sclerosis.
- Kipfer S1, Crook DW.Author information 1Department of Internal Medicine and Neurology, Kantonsspital Olten, Switzerland.AbstractPredilection sites for infratentorial multiple sclerosis lesions are well known and frequently involve the fasciculus longitudinalis medialis leading to classical internuclear ophthalmoplegia. We report a very rare oculomotor disorder due to a demyelinating central nervous system (CNS) lesion in the medial part of the lower pontine tegmentum. A 36-year-old man presented with sudden onset of blurred vision. Clinically there was limited eye adduction and abduction to either side, which corresponds to bilateral horizontal gaze palsy. Brain magnetic resonance imaging (MRI) showed a demyelinating CNS lesion affecting the fasciculus longitudinalis medialis, abducens nuclei or abducens fibres in the medial part of the lower pontine tegmentum. Furthermore there were six further demyelinating white matter lesions fulfilling all Barkhof criteria for multiple sclerosis. Demyelinating CNS lesions causing isolated bilateral horizontal gaze palsy are exceptional and usually associated with further focal neurological deficits, which was not the case in the presenting patient. This is a unique video report of isolated bilateral horizontal gaze palsy as the initial manifestation of demyelinating CNS disease, which lead to definite diagnosis of relapsing remitting multiple sclerosis.
- Multiple sclerosis (Houndmills, Basingstoke, England).Mult Scler.2014 May;20(6):754-5. doi: 10.1177/1352458513518627. Epub 2014 Jan 8.
- Predilection sites for infratentorial multiple sclerosis lesions are well known and frequently involve the fasciculus longitudinalis medialis leading to classical internuclear ophthalmoplegia. We report a very rare oculomotor disorder due to a demyelinating central nervous system (CNS) lesion in the
- PMID 24402040
- Eight-and-a-Half Syndrome: A Rare Presentation of Pontine Infarction.
- Sampath Kumar NS1, Raju CG2, Kiran PR2, Kumar TA2, Gopal BV2, Khaseem DB2.Author information 1Department of Neurology, Narayana Medical College, Nellore, Andhra Pradesh, India. Electronic address: padala6487@gmail.com.2Department of Neurology, Narayana Medical College, Nellore, Andhra Pradesh, India.Abstract"Eight-and-a-half" syndrome is "one-and-a-half" syndrome (conjugated horizontal gaze palsy and internuclear ophthalmoplegia) plus ipsilateral fascicular cranial nerve seventh palsy. This rare condition, particularly when isolated, is caused by circumscribed lesions of the pontine tegmentum involving the abducens nucleus, the ipsilateral medial longitudinal fasciculus, and the adjacent facial colliculus. Its recognition is therefore of considerable diagnostic value. We report a case of a 65-year-old man who presented with eight-and-a-half syndrome in which brain magnetic resonance imaging scan revealed a lacunar pontine infarction.
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.J Stroke Cerebrovasc Dis.2014 Mar 25. pii: S1052-3057(14)00026-3. doi: 10.1016/j.jstrokecerebrovasdis.2014.01.002. [Epub ahead of print]
- "Eight-and-a-half" syndrome is "one-and-a-half" syndrome (conjugated horizontal gaze palsy and internuclear ophthalmoplegia) plus ipsilateral fascicular cranial nerve seventh palsy. This rare condition, particularly when isolated, is caused by circumscribed lesions of the pontine tegmentum involving
- PMID 24674953
- Eight and a half syndrome with hemiparesis and hemihypesthesia: the nine syndrome?
- Rosini F1, Pretegiani E, Guideri F, Cerase A, Rufa A.Author information 1Eye Tracking & Visual Application Lab, Department of Neurological, Neurosurgical, and Behavioral Sciences, Siena, Italy.Abstract"Eight-and-a-half" syndrome is "one-and-a-half" syndrome (conjugated horizontal gaze palsy and internuclear ophthalmoplegia) plus ipsilateral fascicular cranial nerve seventh palsy. This rare condition, particularly when isolated, is caused by circumscribed lesions of the pontine tegmentum involving the abducens nucleus, the ipsilateral medial longitudinal fasciculus, and the adjacent facial colliculus. Its recognition is therefore of considerable diagnostic value. We report a 71-year-old man who presented with eight and a half syndrome associated with contralateral hemiparesis and hemihypesthesia, in which brain magnetic resonance imaging scans revealed a lacunar pontine infarction also involving the corticospinal tract and medial lemniscus. These features could widen the spectrum of pontine infarctions, configuring a possible "nine" syndrome.
- Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association.J Stroke Cerebrovasc Dis.2013 Nov;22(8):e637-8. doi: 10.1016/j.jstrokecerebrovasdis.2013.01.018. Epub 2013 Feb 21.
- "Eight-and-a-half" syndrome is "one-and-a-half" syndrome (conjugated horizontal gaze palsy and internuclear ophthalmoplegia) plus ipsilateral fascicular cranial nerve seventh palsy. This rare condition, particularly when isolated, is caused by circumscribed lesions of the pontine tegmentum involving
- PMID 23434442
Japanese Journal
- Clinicoradiological Analysis of the Oculomotor Fasciculus
- WEMINO Syndrome with Skew Deviation and Facial Palsy
- Tsuda Hiromasa,Kamata Kazuhiro,Tanaka Kozue,Kishida Shuji
- Internal Medicine 50(20), 2435-2436, 2011
- NAID 130001087766
- One-and-a-half 症候群ならびに顔面神経麻痺で発症した多発性硬化症例
- 岡田 昌浩,澤井 尚樹,兵頭 純 [他],羽藤 直人,暁 清文
- 耳鼻咽喉科臨床 103(6), 517-521, 2010-06-01
- … A 35-year-old man who was referred to our hospital 6 days after diplopia, dizziness and left hemifacial palsy had experienced left facial palsy 8 years earlier. … conjugate left-side lateral gaze palsy and impaired left-eye adduction and for the right eye, gaze nystagmus induction in the right-side gaze. …
- NAID 10026361850
Related Links
- Schematic demonstrating right internuclear ophthalmoplegia, caused by injury of the right medial longitudinal ... involves paralysis of all conjugate horizontal eye movements other than abduction of the eye on the opposite side to the lesion.
- This finding distinguishes internuclear ophthalmoplegia from 3rd cranial nerve palsy, which impairs adduction in convergence (this palsy also differs because it causes limited vertical eye movement, ptosis, and pupillary abnormalities).
★リンクテーブル★
[★]
- 英
- internuclear palsy
- 関
- 核間性眼筋麻痺? ← おそらくこちらの方が正式であろう
- 中脳の障害で出現する。例えば、脳ヘルニアにおいて中脳に障害が及ぶときに生じる。
- (たぶん)障害される経路は内側縦束 MLFで、病態としては内側縦束症候群 MLF症候群としてまとめられる。
- 一眼の内転は障害されるが輻湊時は内転可能、他眼は外転で解離性眼振(参考1)
参考
- http://www4.ocn.ne.jp/~nurophth/porikuri_undoukei.html
[★]
- 麻痺、運動麻痺
- 関
- cauterize、numb、paralysis、paralyze、paresis、plegia、Todd's paralysis