Neuro-Ophthalmologic Complications of Syringobulbia

被引:8
作者
Nogues, Martin [1 ]
Lopez, Lidia [2 ]
Meli, Francisco [3 ]
机构
[1] Inst Invest Neurol Raul Carrea FLENI, Dept Neurol, Buenos Aires, DF, Argentina
[2] Inst Invest Neurol Raul Carrea FLENI, Neuroophtalmol Sect, Buenos Aires, DF, Argentina
[3] Inst Invest Neurol Raul Carrea FLENI, Dept Neuroradiol, Buenos Aires, DF, Argentina
关键词
Syringobulbia; Syringomyelia; Chiari I; Horner; Oscillopsia; Nystagmus; Diplopia; See-saw; Skew deviation; Neuro-ophthalmologic; Deiters; Roller; HORNER-SYNDROME; SEE-SAW; SYRINGOMYELIA; NYSTAGMUS; PATHOGENESIS; MALFORMATION; SYRINX; CORD;
D O I
10.1007/s11910-010-0139-x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Syringobulbia is an uncommon condition, usually a late complication of syringomyelia. It has predilection for the dorsolateral region of the medulla leading to damage to vestibular nuclei and their connections, as well as to the descending sympathetic fibers. Oscillopsia, nystagmus, and Horner syndrome are frequent manifestations of syringobulbia. Oscillopsia may be a disturbing symptom for the patient, whereas Horner syndrome is usually an asymptomatic finding. MRI detection of syringomyelia has led to earlier treatment of syringomyelia and prevention of upward extension of the cavity. This probably explains why syringobulbia is less frequently encountered at present. We propose to describe the neuro-ophthalmologic symptoms and signs that may be observed in patients with syringobulbia and the mechanisms involved in their appearance.
引用
收藏
页码:459 / 466
页数:8
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