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单纯中枢性面瘫为首发症状的脑桥梗死 1 例报告。

Medullary infarction with central facial paralysis as the only symptom: a case report.

机构信息

Department of Neurology, Xinhua Hospital Affiliated with Dalian University, Dalian, China.

Department of Neurology, The Second People's Hospital of Dongying, Dongying, China.

出版信息

J Int Med Res. 2024 Sep;52(9):3000605241276468. doi: 10.1177/03000605241276468.

DOI:10.1177/03000605241276468
PMID:39263948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11403692/
Abstract

The anatomical structure of the medulla oblongata is complex, its nerve fibers are dense, and its blood vessels are complex. Clinical manifestations of ischemic damage to the medulla oblongata are therefore relatively diverse, and include vertigo, dysphagia, and dysarthria. Although facial paralysis may also occur, medullary infarction with facial paralysis as the first and only symptom is rare. Herein, we report a case of medullary infarction with ipsilateral central facial paralysis as the only symptom.

摘要

延髓的解剖结构复杂，神经纤维密集，血管复杂。因此，延髓缺血性损伤的临床表现较为多样，包括眩晕、吞咽困难和构音障碍。虽然也可能出现面瘫，但以面瘫为首发症状且唯一症状的延髓梗死较为少见。本文报告了 1 例以同侧中枢性面瘫为唯一症状的延髓梗死病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/3647e0d0c93d/10.1177_03000605241276468-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/b5df5dedd87c/10.1177_03000605241276468-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/04268bd9690d/10.1177_03000605241276468-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/3647e0d0c93d/10.1177_03000605241276468-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/b5df5dedd87c/10.1177_03000605241276468-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/04268bd9690d/10.1177_03000605241276468-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3e6d/11403692/3647e0d0c93d/10.1177_03000605241276468-fig3.jpg

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本文引用的文献

1
Topographic Consideration on the Occurrence of Ipsilesional Facial Paresis in Lateral Medullary Infarction.延髓外侧梗死中患侧面部轻瘫发生的地形学考量
Cerebrovasc Dis. 2024;53(1):38-45. doi: 10.1159/000530986. Epub 2023 May 10.
2
Peripheral-type facial palsy as an initial symptom of lateral medullary infarction.
Acta Neurol Belg. 2022 Jun;122(3):851-853. doi: 10.1007/s13760-022-01902-7. Epub 2022 Feb 23.
3
Variants of Avellis Syndrome Due to Medulla Oblongata Infarction: A Case Series.延髓梗死所致阿韦利斯综合征变异型：病例系列。
Neurologist. 2021 Sep 7;26(5):185-188. doi: 10.1097/NRL.0000000000000344.
4
A comparative analysis of 375 patients with lateral and medial medullary infarction.375 例延髓外侧和延髓内侧梗死患者的对比分析。
Brain Behav. 2021 Aug;11(8):e2224. doi: 10.1002/brb3.2224. Epub 2021 Jun 14.
5
A rare case of pontomedullary infarction presenting with peripheral-type facial palsy.一例罕见的以周围性面瘫为表现的脑桥延髓梗死病例。
Auris Nasus Larynx. 2010 Dec;37(6):747-9. doi: 10.1016/j.anl.2010.03.010. Epub 2010 Jun 15.
6
Medial medullary infarction: clinical, imaging, and outcome study in 86 consecutive patients.延髓内侧梗死：86例连续患者的临床、影像学及预后研究
Stroke. 2009 Oct;40(10):3221-5. doi: 10.1161/STROKEAHA.109.559864. Epub 2009 Jul 23.
7
Peripheral type facial palsy in a patient with dorsolateral medullary infarction with infranuclear involvement of the caudal pons.一名患有延髓背外侧梗死且尾侧脑桥核下受累的患者出现周围性面瘫。
J Stroke Cerebrovasc Dis. 2008 Sep;17(5):263-5. doi: 10.1016/j.jstrokecerebrovasdis.2008.02.007.