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脑桥延髓沟梗死:外侧延髓综合征的一种变异型。

Pontomedullary sulcus infarct: a variant of lateral medullary syndrome.

作者信息

Vuillier F, Tatu L, Dietsch E, Medeiros E, Moulin T

机构信息

Fédération des Sciences Neurologiques, Centre Hospitalier Universitaire Jean Minjoz, Besançon, France.

出版信息

J Neurol Neurosurg Psychiatry. 2006 Nov;77(11):1276-8. doi: 10.1136/jnnp.2006.099499.

Abstract

With the advent of magnetic resonance imaging (MRI) technology, it is now possible to identify and determine the precise location of medullary infarcts. The lateral part of the medulla is most commonly affected by infarction. Classifications of lateral medullary infarcts are usually based on anatomical data, using rostrocaudal and dorsoventral axes to establish correlations with clinical symptoms. Different subtypes of lateral medullary syndrome, depending on location, shape and size of the infarct, have been described in the literature. We report a rare case of a patient presenting with an unusual clinical picture in relation to an infarct specifically located in the lateral part of the pontomedullary sulcus.

摘要

随着磁共振成像(MRI)技术的出现,现在能够识别并确定延髓梗死的精确位置。延髓外侧部分最常受到梗死影响。外侧延髓梗死的分类通常基于解剖学数据,利用前后轴和背腹轴来建立与临床症状的相关性。根据梗死的位置、形状和大小,文献中描述了外侧延髓综合征的不同亚型。我们报告了一例罕见病例,患者表现出与位于脑桥延髓沟外侧部分的梗死相关的不寻常临床表现。

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