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本文报告3例闭锁综合征,表现为病程中一过性所有随意肌完全麻痹,但意识清醒,眼球及眼睑肌仍可随意运动以表达意识。3例中2例经病检证实为桥脑基底部大块出血,另1例之临床诊断为脑干损害。闭锁综合征的病理解剖基础必须是双侧桥脑基底部损害。本文强调指出:临床上如病人表现为闭锁综合征,即或是一过性的,也具有定位、定性诊断意义;并建议用桥脑性假性昏迷来代替闭锁综合征一词。鉴于本病病变位于桥脑,极易累及呼吸中
This article reports 3 cases of atresia syndrome, manifested as a transient paralysis of all random muscle transient, but conscious, eyeball and eyelid muscles are still free to express their consciousness. In 3 cases, 2 cases proved to be massive pontine hemorrhage at the base of pontine by pathological examination, and the other one was clinically diagnosed as brain stem damage. The basis of the pathological anatomy of atresia syndrome must be bilateral basilar brain damage. This article emphasizes that clinical manifestations of patients with atresia syndrome, that is, transient or transposition, also has the significance of qualitative diagnosis; and proposed the use of ponkanal coma instead of the term “atresia syndrome.” In view of the lesion in the pons of the disease, easily affected by breathing