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延髓梗死11例患者MRI与临床特点对照研究
引用本文:李蕾,秦雪,祁俐,赵奕楠,陈晏,何志义.延髓梗死11例患者MRI与临床特点对照研究[J].中华神经科杂志,2010,43(1).
作者姓名:李蕾  秦雪  祁俐  赵奕楠  陈晏  何志义
作者单位:1. 中国医科大学附属第一医院神经内科,沈阳,110001
2. 沈阳市红十字会医院神经内科
3. 辽宁省金秋医院神经内科
摘    要:目的 探讨延髓梗死患者MRI病灶部位与临床表现特点的关系.方法 总结11例患者的临床症状和体征,对照MRI结果对梗死病灶进行定位,讨论病灶部位与临床表现的关系.结果 延髓外侧梗死5例,延髓内侧梗死6例(其中双侧梗死2例);延髓外侧梗死常见症状是言语不清、眩晕、饮水呛咳、吞咽困难及面部麻木,延髓内侧梗死常见症状是肢体瘫痪、言语不清;延髓外侧梗死常见体征是构音障碍、感觉障碍、Horner征及面瘫,延髓内侧梗死常见体征是肢体瘫痪、周围性舌瘫.结论 不同病灶部位的延髓梗死患者症状、体征各异,借助MRI可帮助诊断.

关 键 词:脑梗死  延髓  磁共振成像  麻痹

Clinical-MRI correlation study of medullary infarction
LI Lei,QIN Xue,QI Li,ZHAO Yi-nan,CHEN Yan,HE Zhi-yi.Clinical-MRI correlation study of medullary infarction[J].Chinese Journal of Neurology,2010,43(1).
Authors:LI Lei  QIN Xue  QI Li  ZHAO Yi-nan  CHEN Yan  HE Zhi-yi
Abstract:Objective To investigate the relation between lesions of medullary infarction and clinical symptoms and signs.Methods Eleven patients with medullary infarction confirmed by MRI were identified.Their clinical presentations and the relation between clinical presentation and location of lesion in MRI were assessed and analyzed.Results Among the 11 patients,5 cases suffered from lateral medullary infarction,6 medial medullary infarction(including two cases of bilateral infarction).Regarding clinical symptoms,common symptoms in lateral medullary infarction are blurred speech,dizziness,choking water,swallowing difficulties and facial numbness;in medial medullary infarction are limb weakness and blurred speech.The common signs of lateral medullary infarction are dysarthria,sensory disturbance,Horner sign and facial paralysis;in medial medullary infarction are paralysis of limbs and peripheral paralysis of the tongue.Conclusion Clinical manifestations are vailed depending on the sites of medullary infarction.MRI is helpful in diagnosing of medullary infarction.
Keywords:Brain infarction  Medulla oblongata  Magnetic resonance imaging  Paralysis
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