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中脑梗死中韦尼克恩克综合征的特殊类型：四例报告

Special type of Wernekink syndrome in midbrain infarction: Four case reports.

作者信息

Yang Yun-Zhou, Hu Wen-Xia, Zhai Hong-Jiang

机构信息

Department of Neurology, Lu'an Hospital Affiliated to Anhui Medical University (People's Hospital of Lu'an City), Lu'an 237005, Anhui Province, China.

出版信息

World J Clin Cases. 2022 May 26;10(15):4935-4941. doi: 10.12998/wjcc.v10.i15.4935.

DOI:10.12998/wjcc.v10.i15.4935
PMID:35801050
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9198849/
Abstract

BACKGROUND

Wernekink commissural syndrome (WCS) is a distinct midbrain syndrome that involves the caudal tegmentum of the midbrain and selectively damages the Wernekink commissure involved in the decussation of the superior cerebellar peduncle in midbrain. The aim of the study was to explore the clinical manifestations, imaging characteristics, and differential diagnosis of WCS in midbrain infarction to provide reference for clinicians in the diagnosis of WCS.

CASE SUMMARY

The clinical data of 4 patients with WCS with midbrain infarction were analyzed retrospectively. WCS is a rare syndrome that can be diagnosed based on its characteristic symptoms and imaging findings of magnetic resonance imaging.

CONCLUSION

Clinicians should look for this syndrome in cases of bilateral cerebellar dysfunction and eye movement disorders.

摘要

背景

韦尼克交叉综合征（WCS）是一种独特的中脑综合征，累及中脑尾侧被盖，并选择性损害参与小脑上脚在中脑交叉的韦尼克交叉。本研究的目的是探讨中脑梗死中WCS的临床表现、影像学特征及鉴别诊断，为临床医生诊断WCS提供参考。

病例总结

回顾性分析4例中脑梗死伴WCS患者的临床资料。WCS是一种罕见的综合征，可根据其特征性症状和磁共振成像的影像学表现进行诊断。

结论

临床医生在双侧小脑功能障碍和眼球运动障碍的病例中应留意该综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/5c24d3921952/WJCC-10-4935-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/80227df19f92/WJCC-10-4935-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/2b0deac85773/WJCC-10-4935-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/fb65092890e8/WJCC-10-4935-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/5c24d3921952/WJCC-10-4935-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/80227df19f92/WJCC-10-4935-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/2b0deac85773/WJCC-10-4935-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/fb65092890e8/WJCC-10-4935-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cff/9198849/5c24d3921952/WJCC-10-4935-g004.jpg

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本文引用的文献

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The horseshoe-shaped commissure of Wernekinck or the decussation of the brachium conjunctivum methodological changes in the 1840s.马蹄形韦尔内肯氏连合或结合臂交叉在 19 世纪 40 年代的方法学变化。
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Wernekink commissure syndrome: a rare midbrain syndrome.Wernekink 连合综合征：一种罕见的中脑综合征。
Neurol Sci. 2012 Dec;33(6):1419-21. doi: 10.1007/s10072-012-0966-4. Epub 2012 Feb 4.
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