Delgado G, Tuñón T, Gállego J, Villanueva J A
J Neurol Neurosurg Psychiatry. 1985 Oct;48(10):1065-7. doi: 10.1136/jnnp.48.10.1065.
A clinical and pathological report of a patient who died 15 days after suffering a classic heat stroke is presented. The clinical picture was of a flaccid quadriplegia with anhidrosis and sphincter disturbance. The most severe pathological lesions were to be seen in the anterior and intermedio-lateral horns of the spinal cord. Hyperthermia was the only physiopathological mechanism demonstrated in the patient. It is suggested that the motor neurons and vegetative neurons of the spinal cord are specially sensitive to hyperthermia.
本文呈现了一名在遭受典型热射病15天后死亡患者的临床及病理报告。临床表现为弛缓性四肢瘫、无汗及括约肌功能障碍。最严重的病理损害见于脊髓前角和中间外侧角。高温是该患者唯一被证实的生理病理机制。提示脊髓运动神经元和自主神经元对高温特别敏感。
