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本文为首例同时及对称性壳核—内囊—尾核(PCC)梗塞的临床—病理报告。患者女性,62岁。突发行为异常及短暂左下面瘫,当天拒进晚餐,服常用安眠药后入睡,次日午未醒被送入院。检查:昏迷Ⅰ—Ⅱ级,疼痛刺激无适当反应,面无表情,无去皮质及去大脑强直,潮式呼吸,腱反射对称,上肢活跃下肢正常,双侧Babinski征阳性,双眼向右偏斜,瞳孔对称缩小光反射存在,眼—前度反射(ROV)消失,眼底正常。以后几天眼偏斜消失,对伤害性刺激会睁眼,无刺
This is the first clinical and pathological report of simultaneous and symmetrical putamen-ICC infarction. Patient female, 62 years old. Abnormal behavior and transient paralysis of the left lower left, refused to dinner the same day, after taking the commonly used sleeping pills to sleep, did not wake up the next day was admitted to hospital. Check: coma Ⅰ-Ⅱ level, no appropriate response to pain stimulation, expressionless, non-cortex and brain rigidity, tidal breathing, tendon reflex symmetry, upper extremity normal leg, bilateral Babinski sign positive, eyes to the right deviation , Pupil symmetry to reduce light reflection, ocular - anterior reflex (ROV) disappeared, fundus normal. The next few days disappeared eye deviation, nociceptive stimulation will be open eyes, no thorns