Komaba Y, Nomoto T, Kitamura S, Terashi A
Second Department of Internal Medicine, Nippon Medical School, Chiyoda-ku, Tokyo.
Intern Med. 1997 Jul;36(7):504-7. doi: 10.2169/internalmedicine.36.504.
We describe a 66-year-old man with a 20-year history of ataxic gait who suddenly developed diplopia on rightward gaze. Neurologic examination revealed right hemi-ataxia and hemi-hypesthesia, and left internuclear ophthalmoplegia. MRI showed a cavernous angioma in the left tectum, mild right cerebellar atrophy, and left interior olivary hypertrophy. Single photon emission computed tomography (SPECT) imaging demonstrated contralateral cerebellar diaschisis. We discuss the findings and review the literature concerning contralateral cerebellar diaschisis.
我们描述了一名66岁男性,有20年共济失调步态病史,突然在向右凝视时出现复视。神经系统检查发现右侧半身共济失调和半身感觉减退,以及左侧核间性眼肌麻痹。磁共振成像(MRI)显示左侧顶盖有海绵状血管瘤、右侧小脑轻度萎缩和左侧下橄榄核肥大。单光子发射计算机断层扫描(SPECT)成像显示对侧小脑交叉性小脑神经机能联系障碍。我们讨论这些发现并回顾有关对侧小脑交叉性小脑神经机能联系障碍的文献。