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目的探讨脑干梗死引起眼部特征性改变与定位的关系。方法选取2012年1月至2014年12月伴眼部特征性改变的初诊脑干梗死患者52例,分析其代表性的症状即眼征与临床定位的相关性。结果 52例患者中脑梗死9例,主要表现为垂直性眼肌麻痹及动眼神经麻痹;脑桥梗死32例,主要表现为凝视麻痹、核间性眼肌麻痹;延髓梗死11例,主要表现为眼震及Horner综合征。结论脑干梗死眼征多变难以定位,总结其相关性有利于急性期脑梗死的定位诊断。
Objective To investigate the relationship between the characteristic changes of eyes and their location caused by infarction of brainstem. Methods From January 2012 to December 2014, 52 patients with newly diagnosed brainstem infarction with characteristic changes of the eye were selected and the correlation between their symptoms and clinical features was analyzed. Results In 52 patients, 9 patients suffered from middle cerebral artery infarction, which was mainly vertical ophthalmoplegia and oculomotor nerve paralysis. There were 32 patients with pontine infarction, which were mainly staring paralysis and paralysis of interocular ophthalmoplegia. Nystagmus and Horner’s syndrome. Conclusions It is difficult to locate the ocular surface of brain stem infarction. Summarizing the correlation, it is helpful for the localization diagnosis of acute cerebral infarction.