Case reports of bilateral facial palsy with horizontal gaze restriction are rare. A 62-year-old woman experienced sudden onset of bilateral adduction deficits, bilateral abducting nystagmus accompanied with facial diplegia. We confirmed acute ischemic stroke in the midline dorsal pons, where medial longitudinal fasciculus (MLF) and facial nerve fascicles are located. This can be explained by vascular variation of pontine perforating arteries.

中文翻译：

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一例双眼面瘫双眼壁双眼肌麻痹

很少有水平视线限制的双侧面神经麻痹的病例报告。一名62岁的妇女突然出现双侧内收不足，双侧外展性眼球震颤并伴有面部截瘫。我们证实了中线背桥（其中内侧纵筋膜（MLF）和面神经束位于其中）的急性缺血性中风。这可以通过桥脑穿孔动脉的血管变化来解释。