脑桥背盖部梗死致双眼水平凝视障碍伴双侧面瘫1例  

A case of bilaterally horizontal gaze palsy with facial palsy caused by tegmental pontine infarction

作　　者：李小艳 鲍雨枫 刘志蓉[1] 董毅 Li Xiaoyan;Bao Yufeng;Liu Zhirong;Dong Yi(Department of Neurology,the Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院神经内科,杭州310009

出　　处：《中华神经科杂志》2022年第8期872-876,共5页Chinese Journal of Neurology

基　　金：国家自然科学基金(81701126)。

摘　　要：核间性眼肌麻痹主要影响眼球的水平运动。一个半综合征是由于一侧脑桥背盖部病变,引起患侧眼球不能内收外展,对侧眼球不能内收、可以外展,但伴水平眼震的综合征。目前已有文章陆续报道了"八个半综合征""九个综合征""十三个半综合征"等。对一个半综合征系列的快速识别有助于临床医生进行精确定位和临床决策。我们现报道1例由于脑桥背盖部病变致双眼同时不能内收外展伴双侧周围性面瘫的病例,以提高大家对脑桥区的解剖定位以及受累表现异质性的认识。Internuclear ophthalmoplegia mainly affects the horizontal movement disorder of the eyeball."One and a half syndrome"is characterized by a combination of one eyeball on the affected side cannot be adducted and abducted,and the other eyeball cannot be adducted,but can be abducted accompanied by horizontal nystagmus due to the lesion of tegmental pontine.At present,articles have successively reported"eight and a half syndromes""nine syndromes""thirteen and a half syndromes"and so on.The rapid identification of"one and a half syndrome"spectrum is helpful for clinicians to make right positioning and clinical decision-making.A case of bilateral peripheral facial paralysis with bilaterally horizontal gaze palsy caused by pontine dorsal tegmental lesions is now reported,so as to improve the understanding of the anatomical location and heterogeneity of pontine lesion.

关 键 词：脑梗死 脑桥 面神经麻痹 眼肌麻痹 

分 类 号：R743.3[医药卫生—神经病学与精神病学]