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单纯表现面瘫的腔隙综合征,大部为缺血性,出血性较为罕见。我们遇到2例,报告如下。例1,男,54岁。因左面部麻木伴口角歪斜2天入院。高血压史10年。查体:血压22/14kPa.神志清,口角右偏,伸舌居中,额纹对称,四肢感觉无障碍,肌力和肌张力正常。膝反射对称。病理反射未引出。眼底动脉硬化Ⅱ级。CT:示右基底节区10mm×6mm 高密度区。诊断为出血性腔隙综合征。例2,男,67岁。因口角斜歪伴说话不利4天入院。无高血压史。查体:血压17/12kPa。神志清,口角左偏,自舌居
Purely facial paralysis lacunar syndrome, mostly ischemic, bleeding is relatively rare. We encountered two cases, the report is as follows. Example 1, male, 54 years old. Numbness due to left side of the mouth with skewed skeletal 2 days admission. History of hypertension for 10 years. Physical examination: blood pressure 22 / 14kPa. Consciousness, mouth right deviation, middle tongue, forehead symmetry, limbs feel accessible, muscle strength and muscle tone normal. Symmetrical knee reflex. Pathological reflex did not lead. Fundus arteriosclerosis Ⅱ level. CT: shows the right basal ganglia 10mm × 6mm high-density area. Diagnosis of hemorrhagic lacunar syndrome. Example 2, male, 67 years old. Diagonal skew due to speak with adverse speech 4 days admission. No history of hypertension. Physical examination: blood pressure 17 / 12kPa. Consciousness, the left corner of the mouth, from the tongue