Turazzi S, Bricolo A
Lancet. 1977 Jul 9;2(8028):62-4. doi: 10.1016/s0140-6736(77)90064-2.
Patients in the early stage of severe head injuries occasionally present with a clinical picture analogous to that in vascular or neoplastic pontine lesions and they can be identified by careful clinical examination and by repeated electroencephalography (E.E.G.). The commonest features in these cases were preservation of consciousness, constriction of the pupils, disturbances of reflex ocular motility, severe pyramidal deficits, decerebrate rigidity, myoclonic manifestations, irregular breathing, and cranial nerve palsies. An E.E.G. tracing similar to the normal pattern was a common finding. These observations suggest that pontine syndromes may be directly produceg a non-reacting, but conscious, patient for one who is deeply comatose.
重度颅脑损伤早期的患者偶尔会出现类似于血管性或肿瘤性脑桥病变的临床表现，通过仔细的临床检查和重复脑电图（E.E.G.）检查可以识别这些患者。这些病例最常见的特征是意识保留、瞳孔缩小、反射性眼球运动障碍、严重的锥体束征、去大脑强直、肌阵挛表现、不规则呼吸和颅神经麻痹。脑电图追踪显示类似于正常模式是常见的发现。这些观察结果表明，脑桥综合征可能直接导致一个无反应但有意识的患者转变为深度昏迷的患者。
