Fisher C M
Stroke. 1982 Jul-Aug;13(4):434-47. doi: 10.1161/01.str.13.4.434.
This paper contains an analysis of 135 cases in which numbness, either episodic or persistent, involved one side of the body. In most cases, the patients were candidates for the diagnosis of pure sensory stroke which is usually the result of an occlusive cerebrovascular lesion involving the thalamus. The cases are divided into three main categories, pure sensory stroke, pure sensory TIAs, and atypical cases. The clinical features described in an earlier paper have been confirmed for the most part. A major limitation is the paucity of pathological studies. The lack of reliable criteria for the recognition of migrainous paresthesias has probably resulted in the inadvertent inclusion of some such cases. Some other conditions, hemidysesthesia and cervical disc, which have had to be considered in the differential diagnosis have been included. Cases of occlusive disease of the posterior cerebral internal carotid and middle cerebral arteries have been analyzed for patterns of paresthesias which may serve to distinguish cortical lesions from thalamic.
本文分析了135例身体一侧出现发作性或持续性麻木的病例。在大多数情况下，这些患者符合纯感觉性卒中的诊断标准，纯感觉性卒中通常是由累及丘脑的闭塞性脑血管病变引起的。这些病例分为三大类：纯感觉性卒中、纯感觉性短暂性脑缺血发作（TIA）和非典型病例。早期一篇论文中描述的临床特征在很大程度上得到了证实。一个主要局限性是病理研究较少。缺乏可靠的偏头痛性感觉异常识别标准可能导致无意中纳入了一些此类病例。在鉴别诊断中必须考虑的其他一些情况，如偏身感觉异常和颈椎间盘问题，也被纳入其中。对大脑后动脉、颈内动脉和大脑中动脉闭塞性疾病的病例进行了分析，以寻找可能有助于区分皮质病变和丘脑病变的感觉异常模式。
