Arai H, Tomioka K, Nakazato Y
Department of Neurology, Motojima General Hospital, Gunma, Japan.
Clin Neurol Neurosurg. 1993 Jun;95(2):147-9. doi: 10.1016/0303-8467(93)90010-e.
An 81-year-old man with central nervous system (CNS) lymphoma presenting with acute, progressive ataxic hemiparesis. Computed tomography and magnetic resonance imaging localized the lesion extending from the right internal capsule to the ventrolateral aspect of rostral midbrain tegmentum. A stereotactical biopsy yielded a microscopic diagnosis of medium-sized diffuse B-cell lymphoma. Although the most frequent cause of the syndrome of ataxic hemiparesis is a lacunar type of cerebral infarction, this article emphasizes that CNS lymphoma can produce the syndrome.
一名81岁男性，患有中枢神经系统（CNS）淋巴瘤，表现为急性进行性共济失调性偏瘫。计算机断层扫描和磁共振成像显示病变从右侧内囊延伸至中脑被盖前部的腹外侧。立体定向活检的显微镜诊断为中等大小弥漫性B细胞淋巴瘤。虽然共济失调性偏瘫综合征最常见的病因是腔隙性脑梗死，但本文强调中枢神经系统淋巴瘤也可导致该综合征。
