论文部分内容阅读
Nothnagel氏综合征罕见,我科收治一例,特报告如下: 女性,62岁,入院前一天下汽车时突发四肢活动不灵伴头痛、呕吐、复视及右侧艘体麻木。无高血压及糖尿病等病史。查体:Bp20/13.3kPa,神清,眼底(-),左眼睑轻度下垂,双眼正视前方时左眼球略高于右眼球,双眼下视时有垂直性复视,双瞳等圆,对光反射灵敏,轻度右侧中枢性面瘫及肢体轻瘫,右侧面及肢体痛觉稍减退。左侧指鼻及跟膝胫试验不准。头颅CT见左侧中脑背外侧1.2×0.5cm高密度影,CT值60Hu。按脑出血经脱水,神经细胞活化剂等保守治疗,二月后除仍有左侧肢体共济失调征外,余(-),复查CT,高密度影消失,形成低密发之囊腔。
A rare case of Nothnagel’s syndrome, our department admitted a special report is as follows: Female, 62 years old, one day before admission to the hospital when the sudden onset of limbs and limbs with headache, vomiting, diplopia and the right side of the numbness. No history of hypertension and diabetes. Physical examination: Bp20 / 13.3kPa, Shen Qing, fundus (-), left eyelid drooping slightly, the left eyeball is slightly higher than the right eyeball when the eyes face forward, vertical diplopia and double pupil circle when looking down, Sensitive light reflex, mild right facial paralysis and limb paresis, right side and limb pain slightly diminished. The left side of the nose and knee with tibia test is not allowed. Head CT see the left middle cerebral artery dorsal lateral 1.2 × 0.5cm high density, CT value 60Hu. By cerebral hemorrhage by dehydration, nerve cell activators and other conservative treatment, after February there is still left ataxia syndrome, I (-), review of CT, high-density shadow disappeared, the formation of low density of the cysts.