[脑桥梗死所致纯运动性偏瘫伴同侧舌瘫]

[Pure motor hemiplegia with ipsilateral lingual palsy caused by pontine infarction].

作者信息

Aidi S, el Alaoui Faris M, Essalhi M, Jiddane M, Chkili T

机构信息

Service de Neurologie, Hôpital des Spécialités, Rabat, Maroc.

出版信息

Rev Neurol (Paris). 1996 Dec;152(12):759-61.

PMID:9205702

Abstract

A 36 year old diabetic man developed a pure motor hemiplegia (PMH) associated with an ipsilateral lingual palsy. Magnetic resonance imaging revealed a pontine infarct. Lingual palsies have never been reported in patients with PMH so far, but may be associated with other lacunar syndromes such as the "dysarthria-clumsy hand syndrome". This observation supports the hypothesis that corticohypoglossal pathways may have bilateral and assymetrical projections.

摘要

一名36岁的糖尿病男性出现了与同侧舌瘫相关的纯运动性偏瘫（PMH）。磁共振成像显示脑桥梗死。迄今为止，PMH患者中从未有过舌瘫的报道，但可能与其他腔隙性综合征如“构音障碍-笨拙手综合征”相关。这一观察结果支持了皮质舌下神经通路可能有双侧不对称投射的假说。