Bogousslavsky J, Martin R, Moulin T
Department of Neurology, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
J Neurol Neurosurg Psychiatry. 1992 Dec;55(12):1146-9. doi: 10.1136/jnnp.55.12.1146.
Five patients with superficial anterior cerebral artery territory infarcts in the paracentral area are reported, who developed a hemiparesis which was predominant in the leg, and with homolateral ataxia in the arm. A similar neurological picture was not observed in 1736 patients who were admitted over an eight year period to a primary care stroke centre with their first stroke. Involvement of corticopontine fibres at their origin, together with damage to the lower limb motor strip or underlying white matter, appears to have been the cause of a clinical syndrome (homolateral ataxia and crural paresis) which has been ascribed to lacunar infarction.
报告了5例大脑前动脉表浅区域中央旁区梗死的患者，他们出现了以腿部为主的偏瘫，以及同侧上肢共济失调。在一家初级保健卒中中心8年期间收治的1736例首次发生卒中的患者中，未观察到类似的神经学表现。皮质脑桥纤维起始部受累，以及下肢运动区或其下方白质受损，似乎是一种临床综合征（同侧共济失调和腿部轻瘫）的病因，该综合征曾被归因于腔隙性梗死。
