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脑桥单侧枪伤:临床、电生理及神经放射学关联

Unilateral gunshot wound of the pons: clinical, electrophysiologic, and neuroradiologic correlates.

作者信息

Boller F, Jacobson G P

出版信息

Arch Neurol. 1980 May;37(5):278-81. doi: 10.1001/archneur.1980.00500540056005.

DOI:10.1001/archneur.1980.00500540056005
PMID:7387445
Abstract

Following a gunshot wound to the face, a 17-year-old male patient experienced a right trigeminal and abducens paralysis, dysarthria, right-sided ataxia, left-sided weakness of the lower part of the face and limbs, and left-sided sensory loss from his neck down. Brainstem auditory evoked potentials showed a decreased P5/P1 amplitude ratio for left ear presentation, and inconsistent replication of P2 and P3 on the right and, to a lesser extent, on left ear click presentations. A computerized tomography scan showed right pontine atrophy. These findings point to a unilateral lesion of the right pons.

摘要

一名17岁男性患者面部遭受枪伤后,出现右侧三叉神经及展神经麻痹、构音障碍、右侧共济失调、左侧面部及肢体下部无力以及左侧颈部以下感觉丧失。脑干听觉诱发电位显示左耳刺激时P5/P1波幅比值降低,右侧P2和P3波在重复检测时不一致,左耳刺激时程度较轻。计算机断层扫描显示右侧脑桥萎缩。这些发现提示右侧脑桥存在单侧病变。

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