以眼球运动神经麻痹为唯一或主要表现的脑干卒中,以前很少有人报道。本文报告7例并研究了其临床特点与放射学表现之间的关系。 结果发现5例患者在动眼神经核或束所在区域有小的卒中并显示了动眼神经功能失调的各种症状组合,其中3例表现为对侧眼球垂直凝视麻痹。1例在Sylvius导水管附近有小出血灶的患者表现为对侧的第四脑神经麻痹,1例在桥脑背盖部有小梗塞的患者表现为单纯的第六脑神经麻痹。非眼的次要神经征候(nonocular minorneuro logical signs)包括4例三叉神经感觉障碍,2例笨拙手。眼球神经和非眼球神经功能失调通常在几个月内得 Stroke in brainstem, the only or major manifestation of motor neuropathy in the eye, has rarely been reported before. This article reports 7 cases and studies the relationship between clinical features and radiological findings. Five patients were found to have minor strokes in the oculomotor nucleus or tract, and various combinations of symptoms of oculomotor dysfunction were found. Three of the patients presented with paralysis of the contralateral vertical gaze. One patient with a small hemorrhage in the vicinity of the Sylvius aqueduct showed a contralateral fourth cranial nerve palsy and one patient with a small infarct in the pontine dorsal lid showed a simple sixth cranial nerve palsy. Nonocular minorneuro logical signs include 4 trigeminal sensory disturbances and 2 clumsy hands. Ocular and non-ocular neuronal dysfunctions are usually obtained within a few months