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侧侧髓梗塞与心脏膀和后脑脉冲
Koji Hayashi1, Midori Ueda1, Asuka Suzuki1
1Department of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Cureus
|March 22, 2024
概括
侧髓梗塞 (LMI) 很少会导致双侧轴向侧脉冲 (BL) 或心脏膀 (AB). 这份病例报告详细介绍了一名由于LMI而经历BL和AB的患者,探索潜在的潜在机制.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 内部医学 内部医学
背景情况:
- 侧髓梗塞 (LMI),也称为瓦伦伯格综合征,通常表现为各种神经系统缺陷.
- 虽然各种症状与LMI有关,但双侧轴向侧推力 (BL) 和动脉膀 (AB) 的发生非常罕见.
研究的目的:
- 报告一个罕见的LMI病例,呈现出双侧轴向侧推力 (BL) 和动脉膀 (AB).
- 探索潜在的病理生理机制,将LMI与BL和AB联系起来.
主要方法:
- 一个77岁的男性患有高血压和糖尿病的案例研究.
- 临床神经学检查,包括评估阴囊,关节障碍,消化不良,感官障碍,动脉和自主功能障碍.
- 大脑磁共振成像 (MRI) 来确定心脏病发作地点.
- 囊管测量以评估膀功能.
主要成果:
- 患者出现了急性左侧BL和无尿症.
- 神经学发现包括右眼神经凝视,轻度肌痛和消化不良,右干部消化不良和左肢/干部动.
- 核磁共振扫描 (MRI) 证实了横向延长性脑髓中的高强度病变.
- 囊管测量证实了尽管有尿动的冲动,但心脏膀 (AB) 仍然存在.
- 随着急性治疗,BL和尿失症分别在第15天和第35天得到缓解,尽管干部缩症持续了几个月.
结论:
- 这一案例凸显了BL和AB在LMI中罕见的同时出现.
- 这些发现表明,侧髓内的特定病变位置可以影响运动控制和膀功能.
- 需要进一步的研究来阐明LMI诱导的BL和AB所涉及的精确神经解剖路径.
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