定位診斷徐評議ppt課件-wenkub
2023-03-08 12:15:13 本頁面
【正文】 al pain 放射性痛 ? ? △ leg anteriorUnilateral muscle atrophy and absent quadriceps (L3) and ankle jerks (S1), Flacciad paralysis ? △ cohort L1— 3 腰 2～ 4受損則膝反射往往消失 ? △ sole of foot， postcohort S1— 2 骶 1～ 2受損則踝反射往往消失。 ? Onset sudden and bilateral 。 quadriceps and ankle reflexes normal無雙下肢癱瘓，也無錐體束征。受損節(jié)段常伴有束帶感。 ? Unilateral muscle atrophy and absent quadriceps (L3) and ankle jerks (S1)下肢可有周圍性癱， ? Incontinence and sdxual functions are not marked ? Onset gradual and unilateral括約肌障礙常不明顯。indirect) ? Associated signs: ptosis(partial or plete), Pyramidal dysfunction Associalted contralateral hemiplegia(對側(cè)偏癱 ) 2. Parinaud’s syndrome Dorsal midbrain lesion( The superior colliculus and pretectal area,上丘頂蓋 ) ： eyes: upward or downward gaze paralysis. (上下凝視障礙 ) pupillary disturbance(瞳孔散大 ) absence of convergence（輻輳反射缺失） often the result of a pinealoma(松果體瘤） press the epithalamus and subthalamus(上下丘 ) brain stemPons腦 橋 MillardGubler syndrome腦橋腹下 皮質(zhì)脊髓束 內(nèi)側(cè)丘系 外展 N 面 N 上下肢感覺障礙 偏癱 (1):MillardGubler Syndrome ? Anterior inferior cerebellar artery lesion
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