Terao S, Takatsu S, Izumi M, Takagi J, Mitsuma T, Takahashi A, Takeda A, Sobue G
Fourth Department of Internal Medicine, Aichi Medical University, Nagakute, Japan.
J Neurol Neurosurg Psychiatry. 1997 Sep;63(3):391-3. doi: 10.1136/jnnp.63.3.391.
Two patients are reported with contralateral hemiparesis including a face of supranuclear type, caused by an infarct of the unilateral ventromedial part of the upper medulla. Data from these patients support the hypothesis that part of the corticobulbar fibres supplying the lower facial muscles descend ipsilaterally in the ventromedial part of the upper medulla and then, after decussation, ascend rostrally to the contralateral facial nucleus.
报告了两名患者，他们患有对侧偏瘫，包括核上型面瘫，由延髓上部单侧腹内侧部分梗死引起。这些患者的数据支持以下假说：供应下部面部肌肉的部分皮质延髓纤维在上部延髓腹内侧部分同侧下行，然后在交叉后向头端上升至对侧面神经核。
