右侧背内侧桥脑被盖腔腔隙性梗死导致的双侧味觉减退和食物厌恶。

IF 0.6 4区医学 Q4 CLINICAL NEUROLOGY

Neurocase Pub Date : 2024-04-01 Epub Date: 2024-05-18 DOI:10.1080/13554794.2024.2353391

Maria Anna Brandão, Thiago Paranhos, Thomas Hummel, Ricardo de Oliveira-Souza

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引用次数: 0

摘要

一位 70 岁的右撇子家庭主妇由于右侧背内侧桥脑被盖小裂隙导致味觉急剧减退，食物和液体的味道发生难闻的变化，并对各种食物产生强烈的厌恶感。进食变得如此难受，以至于她在三周内体重下降了 7 公斤。她的嗅觉和舌头的感觉都没有受到影响。被盖束病变损伤了右侧内侧纵束、中央被盖束或两者。上部桥脑被盖的右侧离散性病变可能会导致一种可逆的综合征，包括双侧耳聋，且同侧更为严重。

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Bilateral hypogeusia and food aversion due to lacunar infarct in the right dorsomedial pontine tegmentum.

A 70-year-old right-handed housewife suffered an acute loss of taste, an unpleasant change in the taste of foods and liquids, and a strong aversion to all kinds of food due to a small lacune in the right dorsomedial pontine tegmentum. Eating became so unpleasant that she lost 7 kg in three weeks. Olfaction and the sensibility of the tongue were spared. The right medial longitudinal fascicle, the central tegmental tract, or both, were injured by the tegmental lesion. A discrete right-sided lesion in the upper pontine tegmentum may cause a reversible syndrome consisting of bilateral hypogeusia which is more severe ipsilaterally.

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来源期刊

Neurocase 医学-精神病学

CiteScore

1.40

自引率

12.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Neurocase is a rapid response journal of case studies and innovative group studies in neuropsychology, neuropsychiatry and behavioral neurology that speak to the neural basis of cognition. Four types of manuscript are considered for publication: single case investigations that bear directly on issues of relevance to theoretical issues or brain-behavior relationships; group studies of subjects with brain dysfunction that address issues relevant to the understanding of human cognition; reviews of important topics in the domains of neuropsychology, neuropsychiatry and behavioral neurology; and brief reports (up to 2500 words) that replicate previous reports dealing with issues of considerable significance. Of particular interest are investigations that include precise anatomical localization of lesions or neural activity via imaging or other techniques, as well as studies of patients with neurodegenerative diseases, since these diseases are becoming more common as our population ages. Topic reviews are included in most issues.