Hoffmann M, Malek A
Stroke Center, Department of Neurology, University of South Florida, Tampa, FL 33612, USA.
Acta Neurol Scand. 2005 Sep;112(3):197-8. doi: 10.1111/j.1600-0404.2005.00465.x.
A 21 year old woman presented with coma and quadriparesis secondary to bilateral pontine infarction. Three weeks later motor aprosodia was the most notable neurological finding apart from mild asymmetric limb weakness. No other supratentorial lesion was noted on initial and subsequent multimodality magnetic resonance imaging and magnetic resonance perfusion imaging revealed right frontotemporal hypoperfusion. This is the first report of aprosodia with an isolated brainstem lesion.
一名21岁女性因双侧脑桥梗死出现昏迷和四肢瘫痪。三周后,除轻度不对称肢体无力外,运动性失韵律是最显著的神经学表现。初次及后续的多模态磁共振成像均未发现其他幕上病变,磁共振灌注成像显示右侧额颞叶灌注不足。这是首例孤立脑干病变导致失韵律的报告。