延髓外侧综合征的解剖与临床分析  

Analysis of anatomy and clinical analysis of wallenberg syndrome

作　　者：魏丽玲[1] 李玉杰[2] 林顺发[1] 

机构地区：[1]汕头大学医学院第一附属医院神经内科,汕头515041 [2]中山医科大学附属第一医院

出　　处：《解剖学研究》2001年第1期54-56,共3页Anatomy Research

摘　　要：目的　探讨延髓外侧综合征的解剖与临床的相关性。方法　统计分析 2 6例延髓外侧综合征临床资料及头部CT、MRI检查结果。结果　本组 2 6例 ,除出现延髓外侧区受损症状外 ,有 3例同时伴延髓腹内侧区、2例伴脑桥受损症状和体征。 2 6例头部CT检查 ,颅后凹异常 1例 (3 85 % ) ,2 4例MRI检查 ,出现异常信号 2 3例 (95 83% )。结论　延髓外侧综合征临床特点不完全局限于延髓外侧区 ,少数可累及延髓腹内侧区及桥脑 ,头部MRI检查优于CT ,MRI结果与临床表现有一定的相关性。Objective To investigate the correlation between anatomy and clinical manifestations in Wallenberg syndrome. Methods Statistical analyze the clinical data and the images of head in CT and MRI in 26 patients with Wallenberg syndrome. Results All 26 patients had symptoms and signs of injures in dorsal outlateral medulla oblongate.In addition,there were manifestations of injuries in other parts, include in medial lateral medulla oblongate in 3 cases ,and pons Varolii in 2 case.There were abnormalities in cerebellum in 1 case of head CT in all patients,and in 23 cases of head MRI in 24 patients. Conclusion In Wallenberg syndrome,there were not only symptoms of injures in dorsal outerlateral medulla oblongate,but clinical manifestations of injures in other parts,such as medial lateral medulla oblongate,and pons. In the images of head,MRI is superior to CT. There were correlation in some degree between MRI and the clinical manifestations.

关 键 词：延髓外侧综合征 计算机断层扫描 核磁共振 解剖 

分 类 号：R742.8[医药卫生—神经病学与精神病学]