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脑干病变可表现二十多种脑干综合征,但一个病人出现三种脑干综合征者甚属罕见。笔者最近遇到1例脑桥梗塞患者,在发病后一个月的经历中,表现三种脑干综合征,报告如下。冯××,男,78岁。1989年3月13日突然发生头晕,视物模糊及右上肢麻木,无头痛、恶心、呕吐。检查发现神志清楚,言语正常。血压20.0/12.0kPa。两眼球不能向左水平注视,向右水平注视时左眼球不能内收,左眼可以外展但出现水平性眼球震颤。两眼球可以向上、向下做垂直运动,亦能稍微做辐凑运动。无其他神经系统长束受损体征。此时
Brainstem lesions can manifest more than twenty brain stem syndromes, but it is rare for one patient to have three brain stem syndromes. I recently encountered a case of pontine infarction patients, one month after the onset of experience, the performance of three brain stem syndrome, the report is as follows. Feng × ×, male, 78 years old. March 13, 1989 Abrupt dizziness, blurred vision and numbness in the right upper extremity. No headache, nausea, vomiting. Inspection found conscious, the language is normal. Blood pressure 20.0 / 12.0kPa. The two eyes can not be left horizontal gaze, the left eye can not adduce when the right horizontal gaze, the left eye can be abducted but there is horizontal nystagmus. Two eyeballs can be up and down to do vertical movement, but also to do a little radial movement. No other nervous system long bundle damage signs. at this time