论文部分内容阅读
本组年轻人急性偏瘫系指40岁以内的年轻人一侧中枢性面、舌瘫和同侧上下肢瘫,瘫痪侧上下肢肌张力增高,深反射亢进,病理反射阳性等特点。现将我科1978—1984年收治的15例进行临床分析,对其病因及诊断加以探讨。一般资料性别和年龄:在15例中,男性8例,女性7例。年龄最小19岁,最大38岁,其中30岁以内发病最多占73%。起病方式:突然起病13例,大部分病例是在工作中或活动状态下突然起病,安静状态下起病仅2例,起病前有2例表现为 TIA 发作。症状与体征:有头晕及精神症状各2例,一侧肢体抽搐1例,意识障碍1例,偏瘫15例(100%),偏身感觉障碍10例,失语6例,一侧锥体束征15例,Honer’s征2例,一侧颈动脉搏动消失(咽扁桃体
This group of young people with acute hemiplegia refers to young people within 40 years of age side of the central side, tongue paralysis and ipsilateral paralysis of the upper and lower limbs, paralyzed upper and lower extremity muscle tone increased hyperreflexia, pathological reflex positive features. Now my department 1978-1984 admitted to 15 cases of clinical analysis of its etiology and diagnosis to be explored. General information on gender and age: In 15 cases, 8 males and 7 females. The youngest is 19 years old and the oldest is 38 years old, of which up to 73% of cases are within 30 years of age. Mode of onset: sudden onset in 13 cases, most cases in the work or activity suddenly onset, quiet onset in only 2 cases, before onset of 2 cases showed TIA attack. Symptoms and signs: There are 2 cases of dizziness and mental symptoms, 1 case of convulsions on one side, 1 case of disturbance of consciousness, 15 cases of hemiplegia (100%), 10 cases of hemifacial sensation, 6 cases of aphasia, pyramidal sign 15 cases, Honer’s sign in 2 cases, side of the carotid pulse disappeared (pharyngeal tonsils