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J Korean Bal Soc > Volume 5(2); 2006 > Article
Journal of the Korean Balance Society 2006;5(2): 292-295.
재발성 중뇌경색에 의해 각기 다른 동안신경속을 침범한 부분 동안신경마비
박정호, 정원희, 이태경, 성기범
순천향대학교 의과대학 신경과학교실
Partial Oculomotor Nerve Palsy due to Different Fascicular Involvements in Recurrent Midbrain Infarctions
Jeong Ho Park, Won Hee Chung, Tae Kyeong Lee, Ki Bum Sung
Department of Neurology, College of Medicine, Soonchunhyang University, Bucheon, Korea. sungkb@schbc.ac.kr
ABSTRACT
We experienced a patient with partial oculomotor palsy who had initially manifested pupillary mydriasis and inferior rectus palsy which were attributed to an ipsilateral fascicular lesion in midbrain. She developed ipsilateral ptosis and monocular elevation palsy due to a new lesion on MRI one month later. This case could be the first neuroimaging evidence which support the hypothesis that fascicles of the oculomotor nerve for inferior oblique, superior rectus, and levator palphebrae muscle fibers are located more laterally and caudally than fascicles for pupil and inferior rectus muscle within midbrain tegmentum. Key Words : Oculomotor nerve, Infarction, Midbrain
Keywords: Oculomotor nerve; Infarction; Midbrain
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