Hashimoto Y, Kimura K, Yonehara T, Uchino M, Ando M
Department of Neurology, Kumamoto City Hospital.
Rinsho Shinkeigaku. 1995 Mar;35(3):286-9.
A 53-year-old man with hypertension was admitted to our hospital, for somnolence, horizontal gaze palsy, right hemiparesis and right sensory disturbance. Brain CT scan revealed a high density area from the left lower pontine tegmentum to the left tegmentum of the lower midbrain. As he became alert, he reported visual hallucination. Two weeks after onset of stroke, he complained tactile hallucination on his right half body with sensory disturbance. After disappearance of the visual hallucination, the tactile hallucination had been persisted. This is the first report of peduncular hallucinosis with long-persisted tactile hallucination due to brainstem bleeding. Tactile hallucination was suggested to be associated with sensory disturbance and extensive destruction of the brain stem tegmentum.
一名53岁的高血压男性因嗜睡、水平凝视麻痹、右侧偏瘫和右侧感觉障碍入住我院。脑部CT扫描显示从左侧脑桥被盖下部至左侧中脑下部被盖有一个高密度区域。当他清醒后,自述有视幻觉。中风发作两周后,他右侧半身出现伴有感觉障碍的触幻觉。视幻觉消失后,触幻觉仍持续存在。这是首例因脑干出血导致的伴有长期持续触幻觉的大脑脚幻觉症的报告。触幻觉被认为与感觉障碍和脑干被盖的广泛破坏有关。