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目的探讨延髓梗死的临床特点及预后。方法总结11例延髓梗死的症状、体征、影像学特点及治疗转归,分析延髓梗死的临床特点,诊断,并发症及临床预后。结果延髓梗死可表现为多个临床综合征,头CT检查不能发现病灶,头MR I检查可明确病变部位。吞咽困难是常见症状,肺部感染是最常见的并发症,经治疗大部分病例预后良好,少数遗留球麻痹、偏瘫等后遗症。结论延髓梗死主要表现为延髓背外侧综合征,延髓腹侧综合征和橄榄体后部综合征,早诊断,及早康复治疗,能减少后遗症,改善预后。
Objective To investigate the clinical features and prognosis of medullary infarction. Methods The clinical features, diagnosis, complications and clinical prognosis of 11 cases of medullary infarction were summarized. The symptoms, signs, imaging features and treatment outcome of 11 cases of medullary infarction were summarized. The results of the medullary infarction can be manifested as multiple clinical syndromes, head CT examination can not find the lesion, head MRI examination can confirm the lesion. Dysphagia is a common symptom. Pulmonary infection is the most common complication. After treatment, the prognosis of most cases is good. A few left hemiplegia and hemiplegia sequelae. Conclusions The main manifestation of medullary infarction is medullary dorso-lateral syndrome, medullary ventral syndrome and olivoparietal syndrome. Early diagnosis and early rehabilitation can reduce sequelae and improve prognosis.