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双侧颈内动脉闭塞较少见,现将我所遇到的1例报告如下。患者男,47岁。因头昏痛,间歇性情神异常,抽搐,意识障碍一月余。于85年5月19日入院。查体:一般情况尚可,意识清楚,反应迟钝。眼底正常。左鼻唇沟浅。肌力Ⅴ级,肌张力正常。双侧Hoffmann 征(+)左腹壁反射(+),提睾反射(+),四肢腱反射(?),左 Babinski 征(+)。腰穿颅压1.96KPa,CSF 蛋白0.45g/L。头颅平片未见异常。85年5月20日行右颈动脉穿刺造影示右床突上段大脑前、中动脉闭塞。大脑后动脉显影好。造影后予
Bilateral internal carotid artery occlusion is rare, I now encounter a report of the following. Male patient, 47 years old. Due to dizziness, intermittent abnormal emotional love, convulsions, disturbance of consciousness more than a month. May 19, 1985 admission. Physical examination: the general situation is acceptable, clear awareness, unresponsive. Fundus normal. Left nasolabial groove shallow. Grade Ⅴ muscle tone, muscle tone normal. Bilateral Hoffmann sign (+) left abdominal wall reflex (+), cremasteric reflex (+), limb tendon reflexes (?), Left Babinski sign (+). Lumbar puncture pressure 1.96KPa, CSF protein 0.45g / L. No abnormal skull plain film. May 20, 85 OK right carotid artery puncture angiography showed the right upper quadrant of the brain before the middle artery occlusion. Posterior cerebral artery imaging is good. Post-contrast imaging