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表现为非交叉性体征的脑桥出血,国内仅报告1例(1989);酷似基底节区梗塞的无桥脑体征的桥脑梗塞尚未见报告。 邱某,女,57岁。1989年10月7日12时入院。当天上午8时许在市场买菜突感头昏,返家途中左下肢乏力。9时许左上肢无力,手指活动失灵,无头痛呕吐。5年前发现高血压病,间断治疗;两年前口渴多饮,余无特殊。 入院时检查:T36.8℃,P80次/min,BP22.7/12kPa,内科系统无特殊发现。神清,语言流利,智能好。视力、视野正常,眼球各方活动自如,无震颤,瞳孔等大(D=3mm),对光反应灵敏。双眼底视乳头边界清楚,动脉稍细反光增强;左侧面部痛觉稍减退,额纹等深,睑裂对称,闭合有力,双耳听力好;左侧鼻唇沟略浅,仲舌稍偏左,余脑神经未见异常。左半身痛觉稍减退,深感觉及复合觉正常;左侧肢体张力偏高,左上肢肌力Ⅰ～Ⅱ级,左下肢Ⅱ～Ⅲ级,腱反射左>右,左侧腹壁反射减弱,左测Babinskis′征(+),余正常。初诊:血栓性脑梗塞(右基底节区),高血压病Ⅱ期,可疑糖尿病。
Only one case was reported in China (1989). Pontine pontine without pontine cerebral infarction that resembled basal ganglia infarction has not been reported yet. Qiumou, female, 57 years old. At 0700 on October 7, 1989, he was admitted to the hospital. 8 o’clock that day in the market to buy food suddenly felt dizzy, left home on the way home fatigue. 9 am left upper limb weakness, finger movement failure, no headache and vomiting. 5 years ago found that hypertension, intermittent treatment; thirsty drink two years ago, I no special. Admission examination: T36.8 ℃, P80 times / min, BP22.7 / 12kPa, no special medical system found. Clear, fluent language, smart and good. Visual acuity, visual field is normal, all eyes freely activities, no tremor, pupils and other large (D = 3mm), light sensitive. Eyes clear as the boundary of the nipple clear, arterial fine reflex enhanced; left facial pain slightly diminished, frontal pattern and other deep, palpebral fissure symmetry, closed effectively, both ears good hearing; slightly left nasolabial fold, slightly inferior tongue left , No abnormal brain activity. The left half of the body pain slightly diminished, deep feeling and complex sense of normal; left limb tension is high, the left upper limb muscle strength Ⅰ ~ Ⅱ level, left lower limb Ⅱ ~ Ⅲ level, tendon reflex left> right, left abdomen reflex, Babinskis’ sign (+), I normally. Newly diagnosed: thrombotic cerebral infarction (right basal ganglia), hypertensive phase Ⅱ, suspicious diabetes.