表现为Opalski综合征伴同侧肢体感觉异常的延髓梗死一例及文献复习  

Medullary infarction manifesting as Opalski syndrome with ipsilateral limb paresthesia:a case report and literature review

作　　者：钟曦 李康之 高伟[1] Zhong Xi;Li Kangzhi;Gao Wei(Department of Neurology,Peking University Shougang Hospital,Beijing 100043,China)

机构地区：[1]北京大学首钢医院神内科,北京100043

出　　处：《中华临床医师杂志（电子版）》2024年第3期323-327,共5页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：报道我科收治的1例表现为Opalski综合征的延髓梗死病例,检索文献并对Opalski综合征病例资料进行总结及回顾分析。本例Opalski综合征患者表现为头晕,行走不稳,左侧肢体麻木力弱。头磁共振成像(magnetic resonance imaging,MRI)示左侧延髓尾部背外侧急性梗死灶;予以抗栓等保守治疗后症状逐渐改善。本研究共纳入44个文献,样本量69例,平均发病年龄58.3±13.7岁,男性占比73.5%。47.6%的患者呈进展型卒中。Opalski综合征的病因中,大动脉粥样硬化病因占比(58.5%),动脉夹层占比(16.9%)。统计分析发现高龄(P<0.01)、表现为进展型卒中(P=0.01)的患者预后差。A case of Opalski syndrome with ipsilateral limb paresthesia is reported,and the relevant literature is reviewed.The patient with Opalski syndrome presented with dizziness,unsteady gait,and weakness and numbness in the left limbs.Brain magnetic resonance imaging revealed an acute dorsolateral infarction in the left bulbar tail.The patient was treated conservatively with antiplatelet therapy,and the symptoms improved gradually.In a literature review encompassing 44 studies with a total of 69 cases,it was found that the average age of onset was(58.3±13.7)years,with men accounting for 73.5%.About 47.6%of the patients experienced progressive stroke.The leading causes identified were atherosclerosis(58.5%)and arterial dissection(16.9%).Statistical analysis indicated that older patients(P<0.01)and those with progressive stroke(P=0.01)tended to have poorer prognoses.

关 键 词：Opalski综合征 延髓背外侧综合征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]