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大脑半球病变多引起病灶对侧肢体的瘫痪,现报告病灶偏瘫同属一侧与锥体交叉变2例,并就其临床表现与锥体交叉变异进行探讨。1.病例简介 例1,男,68岁,因“左侧肢体无力,言语含糊不清3小时”入院。查体:神志清,言语缓慢。左侧中枢性面舌瘫,左侧上、下肢肌力0级,肌张力正常。左侧腱反射(+),左巴氏征(+),左半身针刺觉减退。入院后第2天头颅CT示:左侧基底节区内囊部约30mm×40mm低密度灶,中线结构无移位。第3天头部核磁共振示左基底节区呈长T_1,长T_2信号,余未见异常,经治疗病情好转出院。
Cerebral hemisphere lesions caused more paralysis of the contralateral limb lesions, are reported in the same side of the lesion hemiplegia cross with the cone in 2 cases, and its clinical manifestations and cone cross-mutation were discussed. Case description Example 1, male, 68 years old, due to “left limb weakness, verbal ambiguity 3 hours” admission. Examination: Conscious, slow words. The left central lingual paralysis, the left upper and lower limb muscle strength 0, normal muscle tone. Left tendon reflex (+), left Pakistan’s sign (+), left half body acupuncture reduced. The first 2 days after admission head CT showed: the left basal ganglia within the capsule about 30mm × 40mm low-density lesions, midline structure without displacement. The third day of head MRI showed that the left basal ganglia showed a long T_1, long T_2 signal, I no abnormality, the condition improved after treatment was discharged.