Stewart J, Howard R S, Rudd A G, Woolf C, Russell R W
Stroke Unit, St Thomas' Hospital, Guys' & St Thomas' Hospital Trust, London, UK.
Postgrad Med J. 1996 Sep;72(851):559-61. doi: 10.1136/pgmj.72.851.559.
We describe a 64-year-old man with cerebrovascular disease who had an acute stroke characterised by pseudobulbar palsy, facial weakness, and pyramidal signs. He developed frequent emotional outbursts followed by periods of apneusis. Between these episodes he breathed with a regular and unvarying rate and tidal volume. Autopsy showed extensive cortical, subcortical and pontine infarction. The respiratory pattern indicated a dissociation between voluntary and automatic pathways. The descending limbic pathways were preserved but an abnormal pattern of automatic breathing (ie, apneusis) occurred because of the presence of bilateral pontine infarction.
我们描述了一名64岁患有脑血管疾病的男性，他发生了一次急性中风，其特征为假性延髓麻痹、面部无力和锥体束征。他出现了频繁的情绪爆发，随后是呼吸暂停期。在这些发作之间，他以规律且不变的速率和潮气量呼吸。尸检显示广泛的皮质、皮质下和脑桥梗死。呼吸模式表明自主和自动通路之间存在分离。下行边缘通路得以保留，但由于双侧脑桥梗死的存在，出现了异常的自动呼吸模式（即呼吸暂停）。
