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最近几年,从临床症状结合CT检查证实:双侧丘脑旁正中动脉栓搴已被认识,它的症状为突然意识丧失,随后出现健忘,表情淡漠与短暂性眼球垂直运动同时发生。我们检查5例病人,结合CT证实,这些病人表现为一系列行为和眼球运动异常,其中一例突然昏迷,意识恢复后,出现核上性上视麻痹,表情淡漠,健忘,语言过多和性欲亢进。另一位病人突然木僵,伴完全性眼肌麻痹。其它三例病人均有眼球和行为症状,包括眼球偏斜和攻击行为。丘脑旁正中动脉双侧同时发生栓塞被解释为:双侧丘脑旁正中动脉栓塞是由于单侧丘脑旁动脉反复栓塞引起。根据尸检血管病理研究发现:病变位于基底动脉或基底交通动脉。病人表现2组:一组病变限于双侧丘脑旁正中动脉区,另一组侵及邻近区域。根据我们的临床资料和病理分析显示:这些症状比以前描述的更复杂,发生频率更高。而且病因不是由腔隙梗塞所致。
In recent years, combined with CT findings of clinical symptoms confirmed: bilateral thalamic midline arterial plug has been recognized, the symptoms of sudden loss of consciousness, followed by forgetfulness, indifference and transient vertical eye movements occur simultaneously. We examined 5 patients, combined with CT confirmed that these patients showed a series of behavioral and eye movement abnormalities, one case of sudden coma, consciousness recovery, supranuclear palsy, apathy, forgetfulness, excessive language and hyperactivity . Another patient suddenly stupor, with complete ophthalmoplegia. The other three patients had eye and behavioral symptoms, including eyeball deflection and aggressive behavior. Simultaneous thalamic central artery bilateral embolism is interpreted as: bilateral thalamic midline arterial embolism is due to repeated embolization of the unilateral thalamic artery. According to autopsy vascular pathology study found: Lesions in the basilar artery or basilar artery. Patient performance in two groups: a group of lesions limited to the bilateral thalamic midline artery, the other group invaded the adjacent area. According to our clinical data and pathological analysis, these symptoms are more complicated and have a higher frequency of occurrence than previously described. And the cause is not caused by lacunar infarction.