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脑干病变临床多出现交叉瘫,我们遇到4例桥脑血管病患者,表现为偏瘫,报告如下: 例1:女,59岁,因头晕、言语不清、右侧肢体活动不灵19小时,于1989年3月2日入院。既往有高血压病史。查体:血压21.3/12.0KPa,嗜睡,言语欠清,右鼻唇沟变浅,伸舌偏右。右上下肢肌力0级,肌张力高,腱反射活跃,右侧Babinski氏征(+)。病后第2天、第7天头部CT检查均正常。磁共振成象:桥脑腹侧见有不规则病灶,边缘不清,大小约1.5×1.0cm、T_1呈低信号,T_2呈高信号。磁共振诊断:桥脑梗
Brainstem lesions clinically appear more cross-paralysis, we encountered 4 cases of patients with cerebrovascular disease, manifested as hemiplegia, the report is as follows: Example 1: Female, 59 years old, dizziness, speechless, right limb movement is not working 19 hours , Was admitted on March 2, 1989. Past history of hypertension. Physical examination: blood pressure 21.3 / 12.0KPa, drowsiness, poor speech, the right nasolabial fold shallow, stretch tongue right. Right upper extremity muscle strength 0, high muscle tension, tendon reflexes, right Babinski’s sign (+). Day 2, 7 days after head CT examination were normal. Magnetic resonance imaging: There were irregular lesions in ventral pontine, unclear margins, size of about 1.5 × 1.0cm, T_1 was low signal, T_2 was high signal. Magnetic Resonance Diagnosis: Pons