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[血管造影术后第九、十和十二对颅神经以及左侧第七颅神经的短暂性麻痹。对颅神经缺血性病理的贡献]

[Transitory paralysis of cranial nerves IX, X and XII as well as the left VII after angiography. Contribution to the ischemic pathology of the cranial nerves].

作者信息

Lapresle J, Lasjaunias P, Thévenier D

出版信息

Rev Neurol (Paris). 1980;136(11):787-91.

PMID:7209243
Abstract

The authors report the case of a 28 year old woman who presented, after cerebral angiography performed for a transient hemispheric ischemic attack, a regressive paralysis of the IXth, Xth and XIIth as well as the VIIth left cranial nerves. The involvement of these nerves and the sparing of the XIth is explained by the normal disposition of their arterial supply. Such paralysis has previously been encountered after therapeutic angiography. This case is compared to similar ones involving paralysis of the lower cranial nerves in general disease such as diabetes or apparently idiopathic as reported by Edin et al (1976). This study should be seen in a context which also includes preceding ones performed by two of the authors: A. Annabi, P.L. and J.L. (1978) concerning the IIIrd, and J.L., I. Fernandez Manchola and P.L. (1980) concerning the VIIth and Vth cranial nerves. These observations demonstrate the existence of a vascular territorial pathology in cranial nerves involvement.

摘要

作者报告了一例28岁女性病例,该女性在因短暂性半球缺血性发作进行脑血管造影后,出现了左侧第IX、X、XII以及第VII颅神经的进行性麻痹。这些神经受累而第XI颅神经未受累可通过其动脉供应的正常分布来解释。此前在治疗性血管造影后也曾遇到过此类麻痹。该病例与Edin等人(1976年)报道的糖尿病等一般疾病或明显特发性疾病中涉及下颅神经麻痹的类似病例进行了比较。本研究应结合两位作者之前进行的研究来看:A. Annabi、P.L.和J.L.(1978年)关于第III颅神经的研究,以及J.L.、I. Fernandez Manchola和P.L.(1980年)关于第VII和第V颅神经的研究。这些观察结果表明在颅神经受累中存在血管区域病理学。

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