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lysis同側(cè)軟腭麻痹 [loss of the gag reflex , dysarthria, dysphagia, and dysphonia ].咽反射消失 ,吞咽困難 ,聲音嘶啞 – The spinothalamic tracts (脊丘系 spinal lemniscus). result in contralateral loss of pain and temperature sensation from the trunk and 1 Wallenberg syndrome – The spinal trigeminal nucleus and tract三叉脊束核 . result in ipsilateral loss of pain and temperature sensation from the face (facial hemianesthesia同側(cè)半面麻木 ). – The descending sympathetic tract交感 N降支損害 . result in ipsilateral(同側(cè) ) Horner’s syndrome (ptosis, miosis, hemianhidrosis, and apparent enophthalmos)眼瞼下垂 ,眼球內(nèi)陷 ,半面無汗 ,瞳孔小 2 .True bulbar palsy真性球麻痹 ? The nuclei and cranionerves of biside medullary bulb were damaged. 雙 側(cè) 延髓 損 害 ? Manifest: ? voice muteness, drinking irritate coughing,dysphagia , pharyngeal reflex loss, no pathologic reflex of brain stem, muscle of tongue atrophy. ? 咽反射消失 ,吞咽困難 ,聲音嘶啞 ,軟腭麻痹 ,舌肌萎縮 ,無腦干病理反射 3 {Pseudobulbar Palsy}假性球麻痹 ? This syndrome is too characterized by dysarthria ,dysphagia, drinking irritate coughing .表現(xiàn)同真性球麻痹 ? jaw jerk and gag reflex positive下頜 /咽反射 (+) ? grasp ,su