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患者,女,69岁。晨起后出现左侧肢体无力,双眼不能同时向右注视1天。高血压病史5年。查体:神清,构音障碍,双眼向右侧视麻痹,伸舌偏左。左侧偏身深浅感觉均缺失。左上下肢肌力Ⅰ级,肌张力高,腱反射活跃,病理征阳性。3天后头颅 CT 示:脑桥右侧半旁正中区域前后纵贯性梗塞灶。诊断为变异型脑桥旁正中动脉闭塞综合征。讨论脑桥旁正中动脉闭塞综合征(Foville 综合征)临床不多见,而变异型旁正中动脉闭塞则更少见。脑桥动脉分为旁正中动脉、短旋动脉、长旋动脉三类。旁正中动脉正常从基底动脉背面发出,分布于脑桥内侧旁正中区,闭塞后临床上出现脑桥基底内侧综合征,
Patient, female, 69 years old. Left morning after the onset of limb weakness, eyes can not be right at the same time 1 day. Hypertensive history of 5 years. Examination: Shenqing, dysarthria, paralysis of both eyes to the right, stretch tongue left. Left side of the body shades are missing sense of depth. Left upper limb muscle strength Ⅰ, high muscle tension, tendon reflexes active, positive pathology. 3 days after the head CT showed: pons right side of the median area around the longitudinal infarction. Diagnosis of variant pontine median artery occlusion syndrome. Discussion Focal pyloric median arterial occlusive syndrome (Foville syndrome) is clinically rare, while variant paracentesis is less common. Pontine artery is divided into the next midline artery, short spinous artery, long spinous artery three categories. Normal midline artery from the basilar artery back issued, distributed in the medial pontine midline, after occlusion clinical plinth medial syndrome,