Ruel J H, Vighetto A, Confavreux C, Trillet M, Aimard G
Service de Neurologie, Hôpital neurologique Pierre-Wertheimer, Lyon-Montchat.
Presse Med. 1992 May 30;21(20):926-8.
Twenty-seven out of 45 patients who had Wallenberg's syndrome were re-examined as out-patients. Nineteen were complaining of pain on the side opposite to that with loss or temperature and pain sensations or trigeminal deficit. The follow-up showed that pain was both intense and disabling and its treatment was disappointing. The most striking finding was the high frequency of painful sequelae to Wallenberg's syndrome, since they affected almost one out of two patients. The occurrence of these painful symptoms, usually after lesion of the spinothalamic tract, is difficult to explain.
45例患有延髓背外侧综合征(Wallenberg's syndrome)的患者中有27例作为门诊患者接受了复查。19例患者主诉在对侧出现疼痛,这些对侧部位伴有感觉丧失或温度觉、痛觉减退,或三叉神经功能缺损。随访结果显示,疼痛剧烈且使人丧失活动能力,其治疗效果令人失望。最显著的发现是延髓背外侧综合征疼痛后遗症的高发生率,因为几乎每两名患者中就有一人受到影响。这些疼痛症状通常在脊髓丘脑束受损后出现,其发生原因难以解释。