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表现为垂直性凝视麻痹的单侧丘脑梗死：一例报告

Unilateral thalamic infarction presenting as vertical gaze palsy: a case report.

作者信息

Khan Muhib, Sidiropoulos Christos, Mitsias Panayiotis

机构信息

Department of Neurology, Henry Ford Hospital, 2799 West Grand Boulevard, Detroit, MI, USA.

出版信息

J Med Case Rep. 2011 Oct 31;5:535. doi: 10.1186/1752-1947-5-535.

DOI:10.1186/1752-1947-5-535
PMID:22040522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3219577/
Abstract

INTRODUCTION

Vertical gaze palsy is a recognized manifestation of midbrain lesions. It rarely is a consequence of unilateral thalamic infarction.

CASE PRESENTATION

We report the case of a 48-year-old African-American woman who presented to our facility with vertical gaze palsy and evidence of left medial thalamic infarct on diffusion-weighted imaging without coexisting midbrain ischemia. The etiology of infarct was determined to be small vessel disease after extensive investigation.

CONCLUSIONS

This report suggests a possible role of the thalamus as a vertical gaze control center. Clinicoradiological studies are needed to further define the role of the thalamus in vertical gaze control.

摘要

引言

垂直凝视麻痹是中脑病变的一种公认表现。它很少是单侧丘脑梗死的后果。

病例介绍

我们报告了一名48岁非裔美国女性的病例，她因垂直凝视麻痹就诊于我院，弥散加权成像显示左侧内侧丘脑梗死，且不存在中脑缺血。经过广泛检查，梗死病因确定为小血管疾病。

结论

本报告提示丘脑可能作为垂直凝视控制中心发挥作用。需要进行临床影像学研究以进一步明确丘脑在垂直凝视控制中的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/af61f664a6a8/1752-1947-5-535-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/c18c52f93a8b/1752-1947-5-535-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/4ba906909d96/1752-1947-5-535-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/8d7131664205/1752-1947-5-535-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/af61f664a6a8/1752-1947-5-535-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/c18c52f93a8b/1752-1947-5-535-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/4ba906909d96/1752-1947-5-535-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/8d7131664205/1752-1947-5-535-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42fa/3219577/af61f664a6a8/1752-1947-5-535-4.jpg

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