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共济失调性轻偏瘫是腔隙综合征的特殊类型之一,病理报告病变在桥脑上部基底,表现为同侧肢体无力和共济失调,下肢重于上肢。经CT证实病变累及内囊后下肢和放射冠,因而命名为内囊性共济失调性偏瘫,作者首次报告三例并体感诱发电位提供了共济失调的致病机理的资料。例1男性78岁,有高血压,无卒中先兆,突患轻微头痛,右侧肢体肌无力一周而入院,有中度共济失调,上肢较下肢明显,右上肢及面部针刺觉,触觉轻度减退及右手震动觉轻度减退,右手指位置觉丧失,右下肢感觉正常,2周后共济失调更明显,
Ataxia Hemiplegia is one of the special types of lacunar syndrome, pathological lesions in the upper pontine basalis, manifested as ipsilateral limb weakness and ataxia, lower extremity heavier than the upper limb. CT confirmed lesions involving the posterior capsule and posterior corona radiations, and thus named as cystic ataxia hemiplegia, the authors first reported three cases and somatosensory evoked potentials provide information on the pathogenesis of ataxia. Example 1 A man of 78 years old with high blood pressure, no stroke aura, mild to moderate headache, right aphrodisiac for one week and admitted to hospital with moderate ataxia, obvious upper limbs and lower limbs, right upper limb and facial acupuncture, light touch Degree of diminution and right hand vibration mildly diminish, the right finger position loss of consciousness, right lower limbs feel normal, two weeks later ataxia more obvious,