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幕上占位性病变与肢体运动障碍发生在同侧者较少。我们遇到3例,现摘其中1例报告如下。 患者女,61岁,因昏迷5天于1994年7月28日入院。查体:中度昏迷,呼吸急促,瞳孔右侧直径5mm,左侧忽大忽小(3～5mm),光反射迟钝,双视神经乳头水肿,压眶反应尚存,强刺激可见右上下肢防御反应;腹壁反射右侧减弱,左侧消失,肢体坠落试验示左侧上下肢瘫痪,左侧巴氏征(十)。即给20％甘露醇500ml加地塞米松20mg加压静滴,右侧瞳孔回缩,直径4mm。CT示左颞顶
Supratentorial lesions and limb movement disorders occur in the same side less. We encountered three cases, now pick one of them reported as follows. The patient, 61, was admitted to hospital on July 28, 1994, for a coma of 5 days. Physical examination: moderate coma, shortness of breath, the right pupil diameter 5mm, the left suddenly big suddenly small (3 ~ 5mm), light reflex, bilateral optic nerve head edema, orbital response surviving, strong stimulation visible upper right lower limb defense response Abdominal wall reflex right weakened, disappeared on the left, limb drop test showed paralysis of the left upper and lower limbs, left palatinus (ten). That 20% mannitol 500ml plus dexamethasone 20mg intravenous infusion, the right pupil retraction, a diameter of 4mm. CT showed left temporal top