Zermeño F, Del Brutto O H, Van Wielink G, Nader J
J Clin Neuroophthalmol. 1987 Jun;7(2):93-7. doi: 10.3109/01658108709007435.
A 64-year-old man developed unilateral third nerve palsy and somnolent mutism. Computed tomography (CT) revealed a small unilateral midbrain infarct. Previous reports of somnolent mutism placed the lesion in both sides of the midbrain tegmentum, usually extending into the thalamus. The unilateral third nerve palsy, and high-resolution 4-mm contiguous tomographic sections of the brainstem, helped localize the lesion. To our knowledge, this is the first CT clinical report of somnolent mutism induced by unilateral midbrain infarct.
一名64岁男性出现单侧动眼神经麻痹和嗜睡性缄默症。计算机断层扫描（CT）显示单侧中脑小梗死灶。既往关于嗜睡性缄默症的报道将病变定位于中脑被盖双侧，通常延伸至丘脑。单侧动眼神经麻痹以及脑干的4毫米连续高分辨率断层扫描有助于确定病变位置。据我们所知，这是首例关于单侧中脑梗死所致嗜睡性缄默症的CT临床报告。
