Yasuda Y, Akiguchi I, Ishikawa M, Kameyama M
Department of Neurology, Kyoto City Hospital, Japan.
J Neurol. 1988 Nov;235(8):489-90. doi: 10.1007/BF00314254.
Cheiro-oral syndrome is a peculiar sensory disturbance observed around the corner of the mouth and the palm of the hand on the same side, usually occurring unilaterally. A male patient with bilateral cheiro-oral syndrome following pontine haemorrhage is reported. CT, MRI and neurological findings showed that the syndrome was due to a lesion in the medial lemniscus and ventral secondary ascending tract of the trigeminal nerve on both sides. Although unilateral cheiro-oral syndrome has been reported with a lesion in the parietal lobe, thalamus or brain stem, a bilateral syndrome could be caused only by a lesion of the brain stem.
手口综合征是一种在同侧嘴角和手掌周围观察到的特殊感觉障碍，通常单侧发生。本文报道了一名桥脑出血后出现双侧手口综合征的男性患者。CT、MRI和神经学检查结果显示，该综合征是由双侧内侧丘系和三叉神经腹侧二级升支的病变引起的。虽然已有报道称顶叶、丘脑或脑干病变可导致单侧手口综合征，但双侧综合征仅由脑干病变引起。
