Wednesday, March 12, 2008

Axenfeld - Schurenberg's syndrome

Also known as outlined, cyclical oculomotor nerve palsy. Cause pathogenesis of unknown etiology, more than half of congenital. Cyclical phenomenon to plant between brain nerve occurred rhythmic impulse direct role in the oculomotor nerve caused. Clinical manifestations oculomotor nerve palsy period (blepharoplasty, Mydriasis, eye ramp outside) and spasticity (eyelid contraction Miosis. admission within the eyeball by the positive medium) occurs repeatedly. This phenomenon irregular, and which was repeated endlessly. Fundus and no abnormal vision. Cocaine can not stop the cyclical spasm. Differential diagnosis (1) Balint's syndrome (Balint's syndrome) Bilateral Top occipital cortex lesions vision paralysis, optic ataxia, and visual attention to the obstacles. Accompanied by a constant reflection and spontaneous eye movement, often accompanied by language difficulties, was missing, Exercise ideas apraxia, and other symptoms. (2) Alzheimer's type senile dementia (Alzheimer-senile demen Acronyms) of the eye disease with similar Balint syndrome, characterized by dementia. (3) Other repeatedly ophthalmoplegia ophthalmoplegia migraine can occur ophthalmoplegia. was complete or incomplete, eye muscle and outside may arise. Paralysis often in the past few days or even a few weeks to resume, often can be made. Such paralysis eyes also found in diabetic ophthalmoplegia and spinal cord disease early, outreaching than oculomotor nerve palsy paralysis styles.

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