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目的:因为旁正中基底—被盖部脑桥梗死同大脑半球梗死的表现相似,临床上容易出现误诊,通过观察分析找出鉴别诊断的方法。方法:对我院收治的21例旁正中基底—被盖部脑桥梗死患者的临床特点回顾性分析。结果:除伴有病初头晕或眩晕和构音障碍,病灶对侧纯运动障碍等特点外,不伴有视野缺损及失语,感觉障碍轻微,意识清楚均提示脑旁正中基底-被盖部梗死。MRI在其诊断和鉴别诊断中起到决定性作用。典型的脑桥综合征和单纯眼肌麻痹者并不多见。结论:通过详细的病史采集对临床表现进行分析提出疑点,尽早的DWI检查,均能避免将旁正中基底—被盖部脑桥梗死误诊为大脑半球梗死的情况发生。
OBJECTIVE: Because the paravertebral basal-capitated pontine infarction is similar to the performance of cerebral hemispheric infarction, it is prone to misdiagnosis clinically, and the method of differential diagnosis is found through observation and analysis. Methods: A retrospective analysis was performed on the clinical features of 21 patients with paracentesis-covered basilar infarction in our hospital. Results: Except with the characteristics of initial dizzy or dizziness and dysarthria, contralateral pure dyskinesia without visual field defect and aphasia, mild sensory disturbance and clear consciousness all suggested that the midbrain mid-basal-covered infarction . MRI plays a decisive role in its diagnosis and differential diagnosis. Typical pons syndrome and simple ophthalmoplegia are rare. CONCLUSIONS: It is possible to avoid the misdiagnosis of parathyroid basement-occluded pontine infarction as a hemispheric infarction by analyzing the clinical manifestations through detailed history acquisition.