报道２１例双侧脑梗塞引起急性假性球麻痹（ＡＰＢＰ），其临床特征为：１５例患者呈现完全性假性球麻痹，主要表现为双侧面－咽－舌－咀嚼肌瘫痪（ＦＰＧＭＤ），其中１０例伴肢体瘫。６例患者表现部分性假性球麻痹，其中４例伴肢体瘫。梗塞部位见于放射冠前部、内囊后肢和膝部以及脑岛皮层区。双侧ＡＰＢＰ伴肢瘫者预后较差，长期高血压引起双侧大脑半球小血管病变可能是双侧梗塞的原因 Reported 21 cases of bilateral cerebral infarction caused by acute pseudobulbar palsy (APBP), its clinical features: 15 patients showed complete pseudobulbar palsy, mainly as bilateral - pharyngeal - tongue - masticatory muscle paralysis (FPGMD) , Of which 10 cases with limb paralysis. 6 patients showed partial pseudobulbar palsy, of which 4 patients with limb paralysis. The infarct site is seen in the anterior corona radiata, the posterior limb and knee of the internal capsule, and the cortex of the insula. Bilateral APBP accompanied by limbs paralysis poor prognosis, long-term hypertension caused by bilateral cerebral hemisphere small vessel lesions may be the cause of bilateral infarction