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本文报告1例出现视幻觉的延髓外侧综合征,并就其病理生理学进行讨论。61岁,女,有糖尿病、甲状腺功能减退及冠心病史。因逐渐出现右半身和左面部感觉减退、左腿蹒跚、左上睑下垂、垂直复视、左手笨拙并有恶心呕吐和吞咽困难而住入康复中心。查体发现:左上睑下垂,双眼正视位有旋转眼震且向左凝视时加重,左面及右半身针刺、温度觉减退,张口引吐反射减弱,指-鼻试验左侧共济失调;符合左侧延髓外侧综合征的诊断。康复期间,
This article reports one case of medullary lateral syndrome with visual hallucinations and discusses its pathophysiology. 61 years old, female, with diabetes, hypothyroidism and history of coronary heart disease. He was admitted to the rehabilitation center due to the progressive sensation of diminished right and left facial parts, tumbling left leg, ptosis of the left upper eyelid, vertical diplopia, awkward left hand and nausea and vomiting and swallowing difficulties. Physical examination found: left upper eyelid ptosis, eyes rotating eyes nystagmus and gaze to the left when the increase in the left and right half of the acupuncture, temperature regress, mouth remission reflex, finger-nose test left ataxia; Diagnosis of left medullary lateral syndrome. During recovery,