Nagaratnam Nages, Leung Harry, Bou-Haider Pascal
Department of Medicine (Aged Care and Rehabilitation Services), Blacktown-Mt Druitt Health, Blacktown, NSW, Australia.
Int J Clin Pract. 2004 Jan;58(1):83-5. doi: 10.1111/j.1368-5031.2004.0074.x.
Small ischaemic lesions strategically placed could give rise to specific clinical manifestations depending on the location and size of the lesion. We present the case of five patients with imbalance and falls with no other neurological findings. The computed tomographic scan showed a lacunar infarct in the right or left thalamus. The tendency to fall may complicate rehabilitation. The possible physiological mechanisms are discussed.
根据病变的位置和大小,有策略地放置的小缺血性病变可能会引发特定的临床表现。我们报告了5例存在平衡障碍和跌倒但无其他神经系统表现的患者。计算机断层扫描显示右侧或左侧丘脑有腔隙性梗死。跌倒倾向可能会使康复变得复杂。文中讨论了可能的生理机制。