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双侧水平凝视麻痹罕见,而由原发性桥脑出血(PPA)引起的双侧水平凝视麻痹仅有过1例报道。现报道第二例由原发性桥脑背盖出血而导致的双侧水平凝视麻痹,但意识存在。 男,48岁,墨西哥人。因口周麻木,右侧偏瘫和右侧偏身感觉障碍于1992年2月入院,入院6周前有类似发作,并伴有左面部烧灼感、耳鸣、眩晕、发音和吞咽困难。有高血压,胰岛素依赖性糖尿病,晚期肾病史,近几年大量饮酒,吸烟每天3包。查体:血压
Bilateral horizontal stapes paralysis is rare, while bilateral horizontal stapes paralysis caused by primary pontine hemorrhage (PPA) has been reported in only one case. It is reported that the second case of paralysis due to bilateral horizontal staring paralysis caused by the bleeding of the primary ponsis back cover, but awareness exists. Male, 48 years old, Mexican. Due to perineal numbness, right hemiplegia and right side of the sensory dysfunction were admitted in February 1992, a similar attack 6 weeks before admission, accompanied by left facial burning sensation, tinnitus, dizziness, dysphagia and dysphagia. Have high blood pressure, insulin-dependent diabetes, history of advanced kidney disease, heavy drinking in recent years, smoking 3 bags a day. Physical examination: blood pressure