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【正文】 ? Ipsilateral ataxia(cerebellar signs,同側(cè)小腦征 ) (2): Lockedin syndrome 閉鎖綜合征 ? a lesion of the ventral pons interrupts , ? corticobular and corticospinal pathways, with sparing of brain reticular pathways. ? 雙側(cè)腦橋損害 ,腦干網(wǎng)狀結(jié)構(gòu)完好 ? The patient is alert but unable to respond with speech or facial or limb movements. Mute and paralysed. ? 下眼瞼以下無動 ,四肢癱 ,不語 ,清醒 Lockedin syndrome ? The pathways for eye movement are spared, so the patient can respond with vertical eye movement and blinking. ? 眼球可動及示意回答 ? infarction BrainstemMedulla延髓 Wallenberg Syn. Nystagmus, vertigo, nausea Vestibular nuclei 1 Wallenberg syndrome 延髓背外側(cè)綜合征 cerebellar posterior and inferior artery had A 閉塞 Affected structures and resultant deficits include: – The vestibular nuclei前庭核 . results in nystagmus眼球震顫 , nausea, vomiting, and vertigo眩暈 . – The inferior cerebellar peduncle小腦下腳 . Lesions result in ipsilateral cerebellar signs [同側(cè)小腦征損害 ]. 1 Wallenberg syndrome – The nucleus ambigus 疑核損害 of CNⅨ , CNⅩ and CNⅪ , result in ipsilateral laryngeal, pharyngeal, and palatal hemipara
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