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[眼动图和磁共振成像对脑干缺血性血管疾病临床-地形学相关性的贡献]

[Contribution of oculography and magnetic resonance imaging to the clinico-topographic correlates in ischemic vascular disorders of the brainstem].

作者信息

Dumas G, Charachon R, Hommel M, Perret J, Lebas J F

机构信息

Clinique Universitaire ORL, CHU, Grenoble.

出版信息

Ann Otolaryngol Chir Cervicofac. 1988;105(1):47-57.

PMID:3358606
Abstract

6 patients with brainstem infarction and oculomotor signs were studied. One case was consistent with a mesencephalic infarct (internuclear ophthalmoplegia); 4 cases were consistent with a protuberantial infarct (3 cases of "one and a half" syndrome and one case of pontine reticular syndrome associated with a palsy of the root of the VIth nerve. One case was a laterobulbar syndrome. These 6 patients were studied with CT scan and magnetic resonance imaging (MRI CGR Magniscan 5000 with supraconductor magnet of 0.5 Tesla) with T2 weighted images (TR = 2000 ms, TE = 60; 120 ms) in joined section of 9 or 6 mm thickness. The MRI findings were in each case consistent with an infarction. The clinico-topographic correlations are compared with the oculographic findings.

摘要

对6例患有脑干梗死和动眼神经体征的患者进行了研究。1例符合中脑梗死(核间性眼肌麻痹);4例符合脑桥梗死(3例“一个半”综合征和1例伴有展神经根麻痹的脑桥网状综合征)。1例为延髓外侧综合征。对这6例患者进行了CT扫描和磁共振成像(使用0.5特斯拉超导磁体的MRI CGR Magniscan 5000),采用T2加权图像(TR = 2000毫秒,TE = 60;120毫秒),层厚为9或6毫米。MRI检查结果在每种情况下均符合梗死表现。将临床-影像学相关性与眼动图检查结果进行了比较。

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