论文部分内容阅读
孤立的中枢性面瘫较少见,对其病变部位和病因的报道甚少。应用CT扫描可以确定本症的病变部位,近年来我们诊治3例,现报告如下。 例1,男性,52岁。1天前晨起床时说话含糊不清,流涎伴头晕,于1989年12月2日入院。高血压病史10余年。查体:BP 26.6/14.6kPa,呐吃,左侧鼻唇沟变浅,鼓腮无力,余颅神经、肢体运动、感觉、反射均正常。心电图示左室肥大并心肌缺血。脑脊液正常。12月4日CT扫描示右侧放射冠腔隙梗塞。经降压、利尿、扩管治疗1周后好转出院。
Central paralysis isolated less common, the lesion and etiology rarely reported. Application of CT scan can determine the disease lesions, in recent years, our diagnosis and treatment of 3 cases, are as follows. Example 1, male, 52 years old. 1 day ago morning when vague vomiting, salivation with dizziness, on December 2, 1989 admission. Hypertension history of more than 10 years. Physical examination: BP 26.6 / 14.6kPa, na eat, shallow left nasolabial fold, drum gills weakness, cranial nerves, limb movement, sensory, reflexes were normal. ECG shows left ventricular hypertrophy and myocardial ischemia. Cerebrospinal fluid is normal. December 4 CT scan showed the right radiation crevice lacunar infarction. After antihypertensive, diuretic, expanding tube after 1 week of treatment was discharged.