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我科1987～92年11月经脑CT、MR证实3例双侧丘脑梗塞,现报道如下。 例1 男,38岁,因突然昏迷、尿便失禁5天,醒后多睡伴痴呆一月转我院,入院查生命体征正常,反应迟钝,时间、地点定向力及人物分辨力丧失。计算力差,命名困难。右瞳孔4mm,左3mm。右瞳孔对光反射消失。左眼外展、右眼内收受限,眼震不明显。双眼上下视不能。18天后查脑CT:双侧丘脑近Ⅲ脑室壁斑片状低密度。增强扫描正常。脑电图:45～5.5c/sθ波,偶见散在不规则α波。治疗56天复查;眼球运动,痴呆、
Our department from November 1987 to November 1992 by brain CT, MR confirmed three cases of bilateral thalamic infarction, are reported below. Example 1 Male, 38 years old, due to a sudden coma, urinary incontinence for 5 days, wake up more sleep with dementia in January transferred to our hospital, admitted to check the normal vital signs, unresponsive, time, location and force loss of orientation. Poor calculation, naming difficulties. Right pupil 4mm, left 3mm. Right pupil light reflex disappeared. Left eye abduction, right eye adduction limit, nystagmus is not obvious. Eyes can not look up and down. 18 days after the brain CT: bilateral thalamic near the ventricular wall patchy low density. Enhanced scan is normal. EEG: 45 ~ 5.5c / sθ wave, and occasionally scattered irregular alpha wave. 56 days treatment review; eye movement, dementia,