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闭锁综合征(locked—in syndrome)系1966年由Plum和Posner首先提出。临床少见,国内仅有数例报道。作者近遇一例。女性,63岁,以头昏、呕吐一天,伴右面部发麻及行走不能半天于1987年10月27日入院。高血压及糖尿病史已20年。检查:神清,不能发音,但能理解问话,并以睁闭眼及眼球上下活动示意回答。双眼水平活动受限,张口,伸舌不能;四肢瘫,对针刺无反应,双侧Babinski
The locked-in syndrome was first proposed by Plum and Posner in 1966. Clinical rare, only a few cases reported. A case of the author. Female, 63 years old, drowsiness, vomiting one day, with the right facial numbness and walking can not be half a day in October 27, 1987 admission. Hypertension and diabetes have been 20 years. Check: God clear, can not pronounce, but can understand the questioning, and to open his eyes and eye movements up and down to indicate the answer. Binocular horizontal activity is limited, mouth, tongue extension can not; quadriplegia, no response to acupuncture, bilateral Babinski