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患者,男性,59岁。剧烈运动后突然眩晕,口角歪斜,讲话口齿不清。发病当时有意识模糊,尿潴留。无高血压及心脏病史。查体:嗜睡,BP18.7/11.7KPa,双眼球活动受限,基本固定;右侧角膜反射迟钝,下颌向右侧偏斜;右侧额纹消失,闭目不能,右鼻唇沟浅,口角左偏;双侧软腭上提不能,发音不清,进水呛咳。四肢肌力、肌张力、腱反射正常,痛温觉正常。右侧指鼻试验、轮替试验笨拙。病理反射阴性。头颅CT 示桥脑后方中线区略偏右有一直径为
Patient, male, 59 years old. After a strenuous exercise suddenly dizzy, skewed mouth, speech not clear. Occurred at the time of confusion, urinary retention. No history of hypertension and heart disease. Physical examination: drowsiness, BP18.7 / 11.7KPa, binocular ball activity is limited, basically fixed; the right side of the cornea reflex dull, mandibular right deviation; right frontal pattern disappeared, eyes closed, right nasolabial fold shallow, Mouth left deviation; bilateral soft palate can not mention, pronounced, water choking. Limb muscle strength, muscle tone, normal tendon reflexes, pain, temperature and normal. The right finger nose test, rotation test clumsy. Negative pathological reflex. Head CT cranial pontine midline slightly right there is a diameter of