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10例具有睡眠障碍的急性旁正中丘脑卒中(PTS)患者,4例有垂直注视麻痹,其中2例为未累及中脑的双侧PTS。 例1,男性,60岁,突然昏迷2h后苏醒,临床表现为严重嗜睡症(每天睡眠19h)、精神运动迟缓、重度健忘、失认、性欲亢进、多语症、嗅觉和味觉减退、构音障碍、复视。检查发现,严重上下注视麻痹,右侧瞳孔稍小,水平眼球运动正常。脑MRI显示卒中累及丘脑背内侧核、中央中核、双侧腹后内侧核和腹后外侧核,但
Of the 10 patients with acute paravivial thalamic stroke (PTS) who had sleep disorders, 4 had vertical gaze paralysis and 2 were bilateral PTS without involvement of the midbrain. Example 1, Male, 60 years old, suddenly awake after 2 hours of coma, with clinical manifestations of severe narcolepsy (sleep 19 hours per day), mental retardation, severe forgetfulness, derecognition, hyperactivity, polysemia, loss of smell and taste, Obstacles, diplopia. Examination found that serious paralysis up and down gaze, the right pupil slightly smaller, the level of eye movement is normal. Brain MRI showed that the stroke involved the dorsal medial thalamic nucleus, the central mid-nucleus, the bilateral ventral medial ventral nucleus and the posterior lateral ventral nucleus but