痉挛性斜颈患者三叉神经-颈反射的电生理研究  

Study on trigeminal-cerical reflex in patients with spasmodic torticollis

作　　者：吴文波[1] 梁战华[1] 奚和明 宋春莉[1] 黄靓[1] 

机构地区：[1]大连医科大学附属第一医院神经内科,辽宁大连116011 [2]河南省安钢职工总医院内科,455000

出　　处：《中国误诊学杂志》2011年第18期4287-4289,共3页Chinese Journal of Misdiagnostics

基　　金：大连市科技计划项目(2010E15SF181)

摘　　要：目的探讨痉挛性斜颈三叉神经-颈反射功能变化。方法对12例痉挛性斜颈患者三叉神经-颈反射双侧P19潜伏期进行比较分析。结果所有痉挛性斜颈患者至少有一侧三叉神经-颈反射为异常,双侧P19潜伏期差值>2 s,其中有1例患者颈部扭转方向的对侧未引出肯定波形。结论所有痉挛性斜颈患者至少有一侧三叉神经-颈反射为异常,提示桥脑下段、延髓腹内侧、颈髓上段(C～。)传导通路异常,表明患者存在脑干功能失调及感觉-运动整合功能异常。Objectives To elucidate the pathogenesis of spasmodic torticollis.Methods ST.P19 latency of 12 patients investigated trigeminal-cerical reflex was compared between ipsilateral to torticollis and contra lateral to torticollis.Results All ST patients presented abnormalities of TCR at least one side,Bilateral P19 latency difference was greater than 2 seconds.A bilateral positive/negative wave was absent at the stemocleidomastoid muscles responses contralateral to torticollis in one patient.Conclusions That all ST patients present the abnormalities of TCR at least one side indicate that the lower pons,ventromedial medulla and cervical spinal cord pathway is abnormal and support that ST patients may have faulty processing within the lemniscal pathway with abnormalities in the sensory-motor inte gration.

关 键 词：斜颈/病理生理学 三叉神经/生理学 

分 类 号：R681.531[医药卫生—骨科学]