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原发性中枢神经系统淋巴瘤弥漫累及大脑、下丘脑和外侧脑干致持续性呃逆和霍纳综合征——临床神经解剖学实践。

Persistent hiccups and Horner's syndrome in a case of primary CNS lymphoma with diffuse cerebral, hypothalamic and lateral brainstem involvement - An exercise in clinical neuroanatomy.

机构信息

Department of Neurosurgery, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy, Victoria 3065, Australia.

Department of Neurosurgery, St Vincent's Hospital Melbourne, 41 Victoria Pde, Fitzroy, Victoria 3065, Australia.

出版信息

J Clin Neurosci. 2020 Nov;81:397-400. doi: 10.1016/j.jocn.2020.09.061. Epub 2020 Oct 23.

Abstract

We present a case of a 42-year-old male presenting with persistent hiccups and a Horner's syndrome, among other symptoms and signs of hypothalamic and brainstem dysfunction. He had a biopsy-proven diffuse infiltrative large primary CNS B-cell lymphoma involving the left fronto-temporal hemisphere, diencephalon and brainstem. The aim of this case report is to highlight key clinical and neuro-anatomical correlations that bring light to the art of the clinical examination.

摘要

我们报告了一例 42 岁男性病例,他表现为持续性呃逆和霍纳氏综合征,以及下丘脑和脑干功能障碍的其他症状和体征。他患有经活检证实的弥漫性浸润性大原发性中枢神经系统 B 细胞淋巴瘤,累及左侧额颞叶、间脑和脑干。本病例报告的目的是强调关键的临床和神经解剖相关性,以阐明临床检查的艺术。

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