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Collet—Sicard 综合征在临床上较少见,现将我们诊治的一例报告如下:患者:男、43岁,于85年11月8日因头部过度后伸,即刻出现头晕、心悸、大汗、四肢麻木,休息后有所缓解。5小时后又由于颈部后伸,再次出现上述症状,较前增重;并出现舌麻、言语不清,四肢无力,尿失禁、头痛。当地医院诊断为脑干炎,用神经营养剂、青霉素等药治疗,病情无明显好车。当时查末梢血,WBC 11000/mm~3,脑电图正常。腰穿,颅内压正常,脑脊液常规生化均正常。于11月16日入本院。Bp130/90mmHg,神智清,发音稍不清,伸舌稍偏右,右侧舌肌萎缩。仰卧位两侧均有顺时针旋转性眼震,右侧卧位时加重。右侧咽反射减弱,右侧软腭上提差,右侧耸肩转头力
Collet-Sicard syndrome is clinically rare, and now we report the diagnosis and treatment of a case as follows: Patients: male, 43 years old, on November 8, 85 due to the head after the extension, immediately dizziness, palpitations, sweating Numbness of the limbs, eased after the rest. 5 hours later due to neck stretch, again the above symptoms, more weight than before; and tongue hemp, slurred speech, limb weakness, incontinence, headache. Local hospital diagnosis of brain stem inflammation, with neurotrophic agents, penicillin and other drugs, the condition was not significantly better car. Then check the peripheral blood, WBC 11000 / mm ~ 3, normal EEG. Waist wear, normal intracranial pressure, cerebrospinal fluid routine biochemistry are normal. On November 16 into the hospital. Bp130 / 90mmHg, clear mind, pronounced slightly unclear, slightly tongue extension right, tongue atrophy on the right. Both sides of the supine position have clockwise rotating nystagmus, heavier right lateral decubitus. Weak right pharyngeal reflex, the right soft palate raised the right shoulder shrugs