Warren H G, Kotsenas A L, Czervionke L F
Department of Radiology, Mayo Clinic Jacksonville, Jacksonville, Fla 32224, USA.
AJNR Am J Neuroradiol. 2006 Mar;27(3):705-7.
A 69-year-old woman developed acute pain in the left trigeminal and glossopharyngeal nerve distributions. MR imaging demonstrated a left lateral medullary infarction (LMI) involving the left spinotrigeminal nucleus and tract, nucleus ambiguus, and solitary nucleus. Most patients presenting with trigeminal neuralgia will have disease involving the trigeminal nerve or ganglion or the primary sensory nucleus in the pons. We discuss the unusual finding of LMI associated with concurrent trigeminal and glossopharyngeal neuralgia.
一名69岁女性在左侧三叉神经和舌咽神经分布区域出现急性疼痛。磁共振成像显示左侧延髓外侧梗死(LMI),累及左侧脊髓三叉神经核及束、疑核和孤束核。大多数出现三叉神经痛的患者患有涉及三叉神经或神经节或脑桥中主要感觉核的疾病。我们讨论了与并发三叉神经痛和舌咽神经痛相关的LMI这一不寻常发现。