孤立性脑桥梗死患者的体侧方推动不能。

Isolated body lateropulsion in a patient with pontine infarction.

机构信息

Department of Neurology, Dokkyo Medical University, Tochigi, Japan.

出版信息

J Stroke Cerebrovasc Dis. 2013 Oct;22(7):e247-9. doi: 10.1016/j.jstrokecerebrovasdis.2012.11.008. Epub 2012 Dec 21.

DOI:10.1016/j.jstrokecerebrovasdis.2012.11.008

Abstract

A 72-year-old man with diabetes mellitus and hypertension was admitted to our hospital with lightheadedness. The patient showed lateropulsion to the right side, but his neurological findings were otherwise normal. Brain magnetic resonance images showed a fresh ischemic infarct in the left dorsal part of the lower pons. Body lateropulsion is characterized by an irresistible falling to one side and has been reported in lesions in several brain regions. However, it has rarely been reported in pontine lesions. We suggest that physicians should be aware that pontine lesions can cause isolated body lateropulsion without other neurological deficits.

摘要

一位 72 岁的男性，患有糖尿病和高血压，因头晕入住我院。患者表现为向右侧的侧方倾倒，但神经系统检查无明显异常。脑部磁共振成像显示左侧脑桥下部背侧有新鲜的缺血性梗死灶。身体侧方倾倒的特征是无法抗拒地向一侧摔倒，这种情况已在多个脑区的病变中报道过。然而，在桥脑病变中很少有报道。我们建议医生应该意识到，桥脑病变可以导致孤立的身体侧方倾倒，而没有其他神经功能缺损。