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作者报道一例MRI证实右侧大脑后动脉(PCA)皮层及深穿支闭塞后引起对侧半身多汗及同侧Honner’s征。 男,36岁,右利手,有吸烟史。最初为阅读困难,4天后左侧口唇、舌及左手感觉异常,痛觉丧失。入院时有严重左痛觉过敏,左轻偏瘫,左肢体轻度共济失调,此外有左同向偏盲,左运动及痛觉忽视,左侧多汗(面、胸、手显著,右Honner’s征和空间视觉失用,光反应及调节反射正常,MRI示右PCA区梗塞伴枕叶、颞叶内下区域,中脑前外侧和丘脑一下丘脑腹后外侧区缺血。血管造影示PCA PIA段闭塞。抗凝治疗一周,Honner’s征半身多汗,肢瘫完全消失。发病
The authors report that one MRI confirmed the right side of the posterior cerebral artery (PCA) cortex and deep penetrating branch occlusion caused by contralateral half body sweating and ipsilateral Honner’s sign. Male, 36 years old, right hand, a history of smoking. Initially for reading difficulties, four days after the left lip, tongue and left hand feeling abnormal, pain loss. On admission, there were severe left hyperalgesia, left hemiparesis, mild left ataxia. In addition, left hemianopia, left locomotor and pain were ignored, left sweating (face, chest, hand marked, right Honner’s sign and space Visual acuity, light response and normal reflex, MRI showed right PCA infarction with occipital lobe, temporal lobe, anterolateral and anterior lateral hypothalamus and hypothalamus lateral ventricle ischemia. Angiography showed PCA PIA occlusion. Condensation treatment for a week, Honner’s sign half sweat, limb paralysis completely disappeared