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作者在4816例脑卒中患者中发现经CT、MRI明确病灶(均在右侧)的Weber综合征5例。其中脑栓塞2例,脑血栓形成3例。男性4例,女性1例。发病年龄53～74岁。首发症状:复视3例,轻偏瘫2例,其中1例伴昏迷。查体:右眼均呈外展位,眼睑下垂,垂直性凝视麻痹,2例水平凝视麻痹,3例内收凝视麻痹。右侧瞳孔散大2例,其中1例为椭圆瞳孔,缩小1例。右侧对光反射迟钝1例,消失3例。双眼上下协同运动障碍2例。5例均有左轻偏瘫,伴中枢性面瘫2例,伴左舌瘫1例。左侧巴彬斯基征阳性4例,阴性(舌瘫者)1例。左偏身感觉障碍伴左同向偏
In 4816 patients with stroke, the authors found 5 cases of Weber syndrome with definite lesions (all on the right side) by CT and MRI. Including cerebral embolism in 2 cases, 3 cases of cerebral thrombosis. 4 males and 1 female. Age 53 ~ 74 years old. The first symptom: diplopia in 3 cases, 2 cases of hemiparesis, including 1 case with coma. Physical examination: the right eye showed an abduction position, ptosis, vertical staring paralysis, 2 cases of horizontal staring paralysis, 3 cases of intraoperative admission paralysis. Right mydriasis in 2 cases, of which 1 case of elliptical pupil, reduced in 1 case. The right side of the light reflex in 1 case, disappeared in 3 cases. 2 cases of binocular synergistic dyskinesia. All the patients had left hemiparesis, 2 cases with central facial paralysis and 1 case with left lingual palsy. Left Babinski sign positive in 4 cases, negative (tongue paralysis) in 1 case. Left partial sensory dysfunction with the same left-leaning