Ogane K, Suzuki S, Sobata E, Iwabuchi T
Department of Neurosurgery, Hirosaki University School of Medicine, Japan.
No To Shinkei. 1993 Feb;45(2):163-8.
Two cases of well-known syndrome due to midbrain-brain stem hemorrhage without having a history of hypertension were reported. Case 1 is a 62-year-old female, presenting Weber's syndrome due to midbrain hemorrhage and diagnosed as Moyamoya disease angiographically. Case 2 is a 24-year-old-male, presenting One and a half syndrome due to brain stem hemorrhage from a brain stem cavernous angioma, which was diagnosed angiographically and by magnetic resonance imaging (MRI). Left hemiparesis seen in case 1 had improved by conservative therapy but no improvement could be obtained in the oculomotor nerve palsy. In case 2, hematoma was aspirated surgically for the purpose of decompression and his neurological symptoms improved markedly. Their pathogenesis and pathophysiology were also discussed.
报告了两例无高血压病史的中脑出血导致的著名综合征病例。病例1是一名62岁女性，因中脑出血出现韦伯综合征，血管造影诊断为烟雾病。病例2是一名24岁男性，因脑干海绵状血管瘤引起的脑干出血出现一个半综合征，通过血管造影和磁共振成像（MRI）诊断。病例1中出现的左侧偏瘫经保守治疗有所改善，但动眼神经麻痹无改善。病例2中，为减压目的进行了手术血肿抽吸，其神经症状明显改善。还讨论了它们的发病机制和病理生理学。
