Rafalowska J, Rowińska-Marcińska K
Pol Med Sci Hist Bull (1973). 1975 Jan-Feb;15(1):3-8.
The authors described three cases of so-called "lacunar strokes" with pure motor hemiplegia. Clinical diagnosis in all three cases was middle cerebral artery thrombosis. In cases 1 and 2 small post-malacic lacunes were found in the basal part of the pons. In case 3 the lesion was located in the pyramidal tract within the pons and medulla. In all cases advanced arteriosclerotic changes were observed. "Lacunar stroke" can result from a lesion of both the pons and the medulla. The clinical syndrome may be engendered also by selective lesion of the pyramidal tract.
作者描述了3例所谓的伴纯运动性偏瘫的“腔隙性卒中”。所有3例的临床诊断均为大脑中动脉血栓形成。病例1和病例2在脑桥基底部发现小的软化后腔隙。病例3的病变位于脑桥和延髓内的锥体束。所有病例均观察到晚期动脉硬化改变。“腔隙性卒中”可由脑桥和延髓的病变引起。临床综合征也可能由锥体束的选择性损伤导致。
