Department of Pediatric Neurology, Hospital Universitari Materno-Infantil Vall d'Hebron, Barcelona, Spain.
Pediatr Neurol. 2012 Apr;46(4):257-9. doi: 10.1016/j.pediatrneurol.2012.02.011.
We report on a newborn with congenital hypotonia, unilateral facial palsy, sucking and swallowing difficulties, velopalatine incoordination, and unilateral impairment of the auditory brainstem responses, attributable to brainstem dysgenesis. On follow-up, the child manifested developmental delay and central hypoventilation syndrome during sleep. The ventilation abnormality during sleep with insensitivity to hypercapnia, associated with unilateral facial paralysis, indicates a pontine lesion, including the parafacial respiratory group.
我们报告了一例新生儿，其表现为先天性张力减退、单侧面瘫、吸吮和吞咽困难、软腭不协调，以及单侧听觉脑干反应受损，归因于脑干发育不良。随访时，患儿表现出发育迟缓，并在睡眠中出现中枢性低通气综合征。单侧面瘫伴对高碳酸血症不敏感的睡眠时通气异常提示存在桥脑病变，包括面旁呼吸群。
