Takamatsu Atsushi, Sakajiri Kenichi, Nitta Eishun
Department of Neurology, National Hospital Organization Kanazawa Medical Center.
Rinsho Shinkeigaku. 2018 Jul 27;58(7):451-455. doi: 10.5692/clinicalneurol.cn-001172. Epub 2018 Jun 30.
A 68-year-old right-handed woman with acute-onset inability to stand was admitted to our department. Although left hemiparesis was minor, the neurological examination on admission showed marked body lateropulsion (BL) to the left when she stood or stepped with eyes open and feet closed. Neither ataxia nor sensory disturbance was present. Brain MRI and 3D-CT angiography revealed infarction of the right posterior cingulate and the precuneus due to dissection of the right anterior cerebral artery. BL improved on day 10 and she was discharged without sequelae on day 26. BL caused by cerebral lesions is rare, and we should recognize that infarction of the posterior cingulate and/or the precuneus can cause BL.
一名68岁右利手女性因急性起病无法站立入住我科。虽然左侧偏瘫较轻,但入院时神经系统检查发现,当她睁眼并双脚并拢站立或行走时,身体明显向左偏斜(BL)。未发现共济失调或感觉障碍。脑部MRI和3D-CT血管造影显示,右侧大脑前动脉夹层导致右侧后扣带回和楔前叶梗死。BL在第10天有所改善,她于第26天出院,无后遗症。由脑部病变引起的BL很少见,我们应该认识到后扣带回和/或楔前叶梗死可导致BL。