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脑干血管病在脑血管病中并不多见,收集脑干不同部位血管病个案报告10例,报告如下。例1 田×男 65岁。原有高血压病。某日中午用餐时突发左侧肢体活动不灵,视物成双,眩晕,呕吐。检查:神志清,吟诗样语言吐字不清。右睑下垂闭合不全,双眼右向凝视麻痹。并水平性眼震,口角右歪,伸舌居中,左上、下肢肌力Ⅲ°—Ⅳ°及共济运动不协调,感觉系统正常,生理反射存在,锥体束征(-)。24小时后腰穿脑脊液压力180mmH_2O,常规、生化正常。脑CT平下丘右背侧见高密度影(1.0×0.8×2.0cm)。诊断原发性高血压中脑出血。经治疗,发病10天后部分症状开始恢复,一年后仍遗有语言障碍,眩晕及共济失调
Brainstem vascular disease is rare in cerebrovascular disease, collection of vascular lesions in different parts of the brain stem case report of 10 cases, the report is as follows. Example 1 Tian × male 65 years old. The original hypertension. One day at noon meal sudden left limb movement is not working, depending on the material in pairs, dizziness, vomiting. Check: Consciousness, poetry-like language articulation unclear. Right eyelid drooping closed incomplete, right eye paralysis of both eyes. And horizontal nystagmus, right angle crooked mouth, tongue middle, upper left, lower limb muscle strength III ° -IV ° and ataxia uncoordinated, normal sensory system, the presence of physiological reflexes, pyramidal tract signs (-). 24 hours after lumbar puncture cerebrospinal fluid pressure 180mmH_2O, routine, normal biochemical. Brain CT flat inferior hind see the high-density shadow (1.0 × 0.8 × 2.0cm). Diagnosis of primary hypertensive intracerebral hemorrhage. After treatment, some symptoms began to recover after 10 days of onset and remained speechless, vertigo and ataxia after one year