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例1 周××男37岁曾感冒发热40℃,伴唇部单纯疱疹。10天后出现复视,不能行走及工作。左眼外直肌麻痹,内斜约25°。双侧瞳孔等大,对光反应灵活,无调节麻痹,但有吞咽梗塞感及全身疲软。神经科会诊见双膝反射减弱,脑CT检查阴性。按多发性神经炎治疗,2个月后复视消失,膝反射恢复。例2 朱××男28岁左眼视物模糊,左瞳孔对光反应迟钝,调节反应差,近点距离(左)50cm。双侧膝反射消失。眼科诊断为Adie氏瞳孔,病毒感染应排除。Pilocarpine试验反应正常。1个月后又发
Example 1 week × × male 37 years old had a fever 40 ℃, with herpes simplex herpes. Diplopia after 10 days, can not walk and work. Left lateral rectus paralysis, oblique about 25 °. Bilateral pupils and other large, flexible response to light, no regulation of paralysis, but swallowed infarction and systemic weakness. Neurology consultation showed weakened knee reflex, brain CT negative. According to the treatment of multiple neuritis, diplopia disappeared after 2 months, knee reflex recovery. Example 2 Zhu × × male 28-year-old left eye blurred vision, left pupil unresponsive to light, poor regulation response, near point distance (left) 50cm. Bilateral knee reflex disappeared. Ophthalmology diagnosed as Adie’s pupil, the virus infection should be excluded. Pilocarpine test was normal. 1 month later made