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橄榄脑桥小脑萎缩20例临床分析
引用本文:夏恩奎,欧阳志远,罗巍. 橄榄脑桥小脑萎缩20例临床分析[J]. 中国实用神经疾病杂志, 2008, 11(7): 22-23
作者姓名:夏恩奎  欧阳志远  罗巍
作者单位:浙江大学附属第二医院神经内科,杭州,310009;浙江大学附属第二医院神经内科,杭州,310009;浙江大学附属第二医院神经内科,杭州,310009
摘    要:目的探讨橄榄脑桥小脑萎缩的临床表现和影像学检查特点,以便早期诊断并改善患者预后。方法回顾性分析经临床诊断的20例橄榄脑桥小脑萎缩患者的相关资料。结果橄榄脑桥小脑萎缩患者临床以小脑性共济失调、言语不清、排尿功能障碍、帕金森症状等最常见。16例患者头颅磁共振检查结果示脑萎缩,主要为小脑和脑干萎缩。结论橄榄脑桥小脑萎缩临床以小脑性共济失调为主要表现,言语障碍较继往报道发生率高,头颅磁共振可表现为小脑、脑干萎缩,并可一定程度上反映病程。

关 键 词:橄榄脑桥小脑萎缩  小脑性共济失调  言语不清

Clinical analysis on twenty cases of olivopontocerebella atrophy
Xia Enkui,Ouyang Zhiyuan,Luo Wei. Clinical analysis on twenty cases of olivopontocerebella atrophy[J]. Chinese Journal of Practical Neruous Diseases, 2008, 11(7): 22-23
Authors:Xia Enkui  Ouyang Zhiyuan  Luo Wei
Affiliation:Xia Enkui,Ouyang Zhiyuan,Luo Wei.Department of Neurology,Second Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310009,China
Abstract:Objective To investigate the clinical manifestation and early diagnosis of olivopontocerebella atrophy(OPCA).Methods Clinical data of twenty OPCA were retrospectively analyzed.Results The twenty cases of OPCA mainly manifested ataxia,bradylalia,parkinsonian features,urine obstacles.Cranial MRI of sixteen cases showed brain atrophy,especially in cerebellum and brainstem.Conclusion The OPCA is mainly manifested ataxia,and often combined with bradylalia.MRI can demonstrate to be cerebellum,brainstem atrophy,and can reflect the course of the disease.
Keywords:Olivopontocerebella atrophy  Cerebella ataxia  Bradylalia
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