Ono Kenjiro, Komai Kiyonobu, Ikeda Takayuki
Department of Neurology, Kanazawa University Graduate School of Medical Science, Tsuruga, Fukui, Japan.
J Clin Neurosci. 2003 May;10(3):367-71. doi: 10.1016/s0967-5868(03)00011-0.
The patient was a 19-year-old woman who presented with hemiatrophy and diminished superficial sensation on the left side of her body including her face. She had a past history of tonic-clonic seizures accompanied by left hemiparesis in late childhood. Brain CT demonstrated dilatation of the frontal sinus, calvarial thickening, cerebral hemiatrophy and dilatation of the lateral ventricle on the right side. Brain MRI showed atrophy of the right cerebrum and midbrain and dilatation of the lateral ventricle on T1-weighted images, as well as a high signal intensity area from the parietal to the occipital lobe on T2-weighted images. These findings are suggestive of an episode that may have caused a transient ischemia through the right cerebral hemisphere after the intrauterine period.
该患者为一名19岁女性，表现为身体左侧包括面部出现半侧萎缩和浅感觉减退。她在儿童晚期有过强直阵挛性癫痫发作史，并伴有左侧偏瘫。脑部CT显示额窦扩张、颅骨增厚、脑半侧萎缩以及右侧侧脑室扩张。脑部MRI显示右侧大脑和中脑萎缩，T1加权图像上侧脑室扩张，T2加权图像上从顶叶到枕叶有高信号强度区域。这些发现提示在子宫内期后可能有一个事件导致了右侧大脑半球的短暂性缺血。
