Hankey G J, Stewart-Wynne E G
Department of Neurology, Royal Perth Hospital, Perth, Western Australia.
Clin Exp Neurol. 1987;23:195-9.
A 70 year old man recovered from a left putamenal haemorrhage in 1984 with a residual mild right hemiparesis. In 1985 he presented following the sudden onset of inability to stand. The clinical findings of supranuclear ophthalmoplegia, bradykinesia and rigidity resembled those of progressive supranuclear palsy. CT scan revealed a recent haemorrhage deep in the right hemisphere white matter in addition to a low density change in the left basal ganglia reflecting the site of previous haemorrhage. The patient's course was uncomplicated and the ophthalmoplegia resolved. Bradykinesia and rigidity persist. This case illustrates an unusual clinical presentation of bilateral intracerebral haemorrhage with supranuclear ophthalmoplegia, bradykinesia and rigidity.
一名70岁男性于1984年因左侧壳核出血康复，遗留轻度右侧偏瘫。1985年，他因突然无法站立前来就诊。核上性眼肌麻痹、运动迟缓及强直的临床表现与进行性核上性麻痹相似。CT扫描显示，除左侧基底节区低密度改变（提示既往出血部位）外，右侧半球白质深部近期有出血。患者病程无并发症，眼肌麻痹已缓解。运动迟缓和强直仍存在。该病例说明了双侧脑出血伴核上性眼肌麻痹、运动迟缓和强直的一种不寻常临床表现。
