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后循环卒中的罕见表现:一例九综合征病例报告

A Rare Presentation of Posterior Circulation Strokes: A Case Report of Nine Syndrome.

作者信息

Al Salkhadi Asham, Al Salkhadi Mohammad Ajwad, Baker Mohammed B

机构信息

Internal Medicine, Mubarak Al-Kabeer Hospital, Jabriya, KWT.

Faculty of Medicine, Jordan University of Science and Technology, Irbid, JOR.

出版信息

Cureus. 2024 Sep 6;16(9):e68794. doi: 10.7759/cureus.68794. eCollection 2024 Sep.

DOI:10.7759/cureus.68794
PMID:39371871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456281/
Abstract

Nine syndrome is a rare variant of one-and-a-half syndrome that results from a stroke in the posterior circulation, mainly manifesting as ipsilateral horizontal gaze palsy, facial palsy, and contralateral hemiataxia. Awareness of the clinical signs of this syndrome is crucial for accurate localization of the lesion and guiding further investigations. We report a case of nine syndrome presenting with signs of one-and-a-half syndrome, ipsilateral facial nerve palsy, hemiataxia, and hemiparesis. There are only a few cases of nine syndrome reported in the literature.

摘要

九综合征是一种罕见的一个半综合征变异型,由后循环卒中引起,主要表现为同侧水平凝视麻痹、面神经麻痹和对侧半身共济失调。认识该综合征的临床体征对于准确病变定位和指导进一步检查至关重要。我们报告一例表现为一个半综合征体征、同侧面神经麻痹、半身共济失调和偏瘫的九综合征病例。文献中报道的九综合征病例仅有少数几例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a041/11456281/47fda4c7de52/cureus-0016-00000068794-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a041/11456281/3d47d024f393/cureus-0016-00000068794-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a041/11456281/47fda4c7de52/cureus-0016-00000068794-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a041/11456281/3d47d024f393/cureus-0016-00000068794-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a041/11456281/47fda4c7de52/cureus-0016-00000068794-i02.jpg

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1
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本文引用的文献

1
How does a small area cause big syndromes? A case report of a patient with one-and-a-half syndrome and MRI review of the anatomical pathways involved in causing different pontine neuro-ophthalmological syndromes.一个小区域如何引发严重综合征?一例伴有一个半综合征患者的病例报告及对导致不同脑桥神经眼科综合征的解剖学通路的MRI回顾
Am J Ophthalmol Case Rep. 2021 Oct 30;24:101225. doi: 10.1016/j.ajoc.2021.101225. eCollection 2021 Dec.
2
Eight-and-a-half syndrome: video evidence and updated literature review.八半综合征:视频证据和最新文献复习。
BMJ Case Rep. 2020 May 7;13(5):e234075. doi: 10.1136/bcr-2019-234075.
3
One-and-a-half syndrome with its spectrum disorders.
伴有谱系障碍的一侧半综合征
Quant Imaging Med Surg. 2017 Dec;7(6):691-697. doi: 10.21037/qims.2017.12.04.
4
Eight and a half syndrome with hemiparesis and hemihypesthesia: the nine syndrome?伴偏瘫和偏身感觉缺失的八又半综合征:九综合征?
J Stroke Cerebrovasc Dis. 2013 Nov;22(8):e637-8. doi: 10.1016/j.jstrokecerebrovasdis.2013.01.018. Epub 2013 Feb 21.
5
Eight-and-a-half syndrome.八又二分之一综合征
J Neuroimaging. 2009 Jul;19(3):288-90. doi: 10.1111/j.1552-6569.2008.00261.x. Epub 2008 May 8.
6
One-and-a-half syndrome with facial diplegia: the 15 1/2 syndrome?伴有双侧面瘫的一个半综合征:15 又 1/2 综合征?
J Neuroophthalmol. 2005 Mar;25(1):52-3. doi: 10.1097/00041327-200503000-00015.
7
Some neuro-ophthalmological observations.一些神经眼科观察结果。
J Neurol Neurosurg Psychiatry. 1967 Oct;30(5):383-92. doi: 10.1136/jnnp.30.5.383.