颅底外伤后动眼神经麻痹致上睑下垂的康复治疗

Rehabilitation of ptosis following oculomotor nerve palsy due to skull base injury

目的探讨应用重复康复训练配合反复刺激技术治疗颅底外伤后单侧动眼神经麻痹致严重上睑下垂的疗效。方法 7例颅底外伤单侧动眼神经损伤患者均存在严重上睑下垂,采用重复康复训练配合反复刺激技术治疗动眼神经麻痹致上睑下垂,通过测量治疗前后站立位的睑裂高度判断上睑下垂的恢复程度。结果经过康复治疗后6例患者上睑下垂有不同程度的恢复,眼裂升高高度约5~9 mm。结论重复康复训练配合反复刺激技术治疗颅底外伤后动眼神经麻痹能显著改善患者下垂上睑的提升能力。

Objective To explore the value of repeated rehabilitation training and stimulation on ptosis following unilateral oculomotor nerve palsy due to skull base injury.Methods Seven patients with severe ptosis following unilateral oculomotor nerve palsy due to skull base injury were treated with repeated rehabilitation training and stimulation.The palpebral fissure height was measured to evaluate the degree of the ptosis before and 8 weeks after the treatment.Results The ptosis got improved in 6 cases（85.7%） and the palpebral fissure height was increased 5mm to 9 mm after rehabilitation treatment.Conclusion The repeated rehabilitation training as well as stimulation is valuable to improve ptosis following unilateral oculomotor nerve palsy caused by skull base injury.