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迟发性创伤性中脑空洞症。临床、病理及电生理特征。

Delayed traumatic midbrain syrinx. Clinical, pathologic, and electrophysiologic features.

作者信息

Anderson D C, Bundlie S, Larson D A, Rockswold G, Mastri A

机构信息

Department of Neurology, Hennepin County Medical Center, Minneapolis, MN 55415.

出版信息

Arch Neurol. 1988 Feb;45(2):221-5. doi: 10.1001/archneur.1988.00520260113030.

DOI:10.1001/archneur.1988.00520260113030
PMID:3341938
Abstract

Seven months following severe crushing closed-head trauma with initial excellent recovery, neurologic deficits referable to the right mesencephalon abruptly developed in a 28-year-old man. Computed tomography demonstrated a cystic midbrain lesion with apparent communication with the aqueduct (later confirmed at autopsy). Brain-stem auditory evoked potentials after the clinical deterioration showed depression of amplitude of wave V, compared with predeficit records, only when the ear contralateral to the brain-stem lesion was stimulated.

摘要

一名28岁男性在严重闭合性头部挤压伤后最初恢复良好,七个月后突然出现了与右中脑相关的神经功能缺损。计算机断层扫描显示中脑有一个囊性病变,明显与导水管相通(尸检后得到证实)。临床病情恶化后进行的脑干听觉诱发电位显示,与缺损前记录相比,仅在刺激脑干病变对侧耳朵时,V波振幅降低。

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