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中脑红核综合征又称Benedict氏综合征,临床较为罕见,现报告1例。 患男,70岁。因头晕、右眼睑下垂,复视、左侧肢体无力、走路不稳4d于1990年8月28日入院。患者4d前在家看电视时,突然感觉头晕,随之出现右眼睑下垂、用手分开右眼皮时视物不清,有复视,说话语言含糊不清,站起走路左侧肢体无力,身体重心向左倾斜,步态不稳。病来无视物旋转,无耳呜,无恶心、呕吐,亦无不自主运动。既往有高血压病史5年,吸烟30余年,无糖尿病史。1986年患脑血栓形成,右侧偏瘫已愈。 入院查体:BP20/13kPa,P84次/min,神志清,言语含糊不清。心、肺听诊无明显异常。腹平软,肝、脾未及。神经系统检查:右眼睑下垂,右眼裂完全消失,右眼球向上、向内活动不能,向下活动略差,眼球处于外展位,复视(+),双侧
Midbrain red nucleus syndrome, also known as Benedict’s syndrome, clinically rare, is reported in 1 case. Male, 70 years old. Dizziness due to dizziness, right eyelid ptosis, diplopia, left limb weakness, walking instability 4d on August 28, 1990 admitted. Patient 4 days ago at home watching TV, I suddenly felt dizzy, accompanied by ptosis of the right eyelid, hand separation of the right eyelid when the blurred vision, diplopia, vague language, standing left leg weakness, body center of gravity Leaning to the left, unsteady gait. Disease to ignore the object rotation, no auricular disease, no nausea, vomiting, but also all involuntary movements. Previous history of hypertension 5 years, smoking more than 30 years, no history of diabetes. In 1986 suffering from cerebral thrombosis, right hemiplegia has been more. Admission examination: BP20 / 13kPa, P84 times / min, clear mind, verbal ambiguity. Heart, lung auscultation no obvious abnormalities. Abdomen soft, liver, spleen and time. Nervous system examination: the right eyelid ptosis, the right eye crack completely disappeared, the right eye ball upward, inward movement can not, down slightly worse, the eye in the abduction position, diplopia (+), bilateral