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作者报道2例因单侧结节丘脑动脉和双侧旁正中动脉区梗死出现以幻听和幻视为主要临床特征的病例。 病例1 39岁男性画家,右利,突发嗜睡伴短时的向上凝视麻痹。发病后数小时查体正常,眼和瞳孔无异常。嗜睡,对时间、人物的定向力正常。CT扫描显示左丘脑有一低密度灶。MRI显示在旁正中动脉区双侧梗死,未累及大脑脚或中脑。发病后1d,出现幻视。看见自己右手扎着绷带,卧室内有数个伤员。这些幻觉是鲜艳的,占整个视野,并持续数分钟。当幻觉出现
The authors reported 2 cases of auditory hallucinations and hallucinations as the main clinical manifestations of infarction due to unilateral nodular thalamic artery and bilateral parapharyngeal artery. Case 1 39-year-old male painter, right interest, sudden drowsiness with short-term upward gaze paralysis. A few hours after the onset of physical examination, no abnormalities in the eyes and pupils. Drowsiness, on the time, the orientation of the characters normal. CT scan showed a low-density foci in the left thalamus. MRI showed bilateral infarction in the midparatandial artery area without involvement of the cerebral or midbrain. 1d after onset, visual hallucinations. I saw my right hand bandaged, several wounded in the bedroom. These illusions are bright, take up the entire field of view and last for a few minutes. When the illusion appears