论文部分内容阅读
在CT同世之前,单纯性中枢性面瘫是难以进行病变定位的。1979年Puvenendren等报告5例突发发音困难、吞咽困难和中枢性面瘫,推测病变可能位于脑干的皮层脑干束。本文报告5例单纯性中枢性面瘫经CT证实为内囊/放射冠小灶性梗塞,作者认为这是一种新的腔隙状态。例1 男,49岁,因突发发音困难、吞咽困难和左侧面肌无力2天而于1979年8月入院。体检血压130/90mmHg,左侧中枢性面瘫,完全性发音不能和吞咽不能。余神经系统检查和实验室检查均正常。CT扫描显示在接近基底节的放射冠附近有一小的低密度区。2年后完全恢复。例2.女,55岁,突发右侧面肌无力伴吞咽困难、言语不清、尿失禁和步态不稳。体查血压140/
Prior to the CT world, simple central paralysis is difficult to locate lesions. In 1979, Puvenendren et al reported 5 cases of sudden dysarthria, dysphagia and central facial paralysis, suggesting that lesions may be located in the brainstem cortex brainstem. This report reports 5 cases of simple central facial paralysis confirmed by CT as a small intracavitary / radial crown infarction, the authors believe that this is a new state of the lacuna. Example 1 Male, 49 years old, admitted to hospital in August 1979 for sudden onset of dysphagia, dysphagia and left facial weakness for 2 days. Physical examination blood pressure 130 / 90mmHg, left central paralysis, complete pronunciation and swallowing can not. Aneurysm examination and laboratory tests were normal. The CT scan showed a small area of low density near the coronas near the basal ganglia. 2 years after the full recovery. Example 2. Female, 55 years old, sudden right facial muscle weakness with difficulty swallowing, speechless, urinary incontinence, and unsteady gait. Physical examination of blood pressure 140 /