脑桥梗死致“非交叉性中枢性面瘫”1例报告。

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Neurologist Pub Date : 2023-11-01 DOI:10.1097/NRL.0000000000000500

Liwen Zhao, Bingcheng Ren

{"title":"脑桥梗死致“非交叉性中枢性面瘫”1例报告。","authors":"Liwen Zhao, Bingcheng Ren","doi":"10.1097/NRL.0000000000000500","DOIUrl":null,"url":null,"abstract":"Introduction: We report a patient with extraordinary pontine infarction-induced contralateral central facial palsy and weakened limb strength.Case report: This is a 66-year-old man with left arm movement difficulty for 10 days and worsening over the last 1 day. His left nasolabial fold flattening and left arm strength and sensory were decreased. He could not complete the finger-nose test well with his right hand. Magnetic resonance and magnetic resonance angiography tests confirmed his right pontine acute infarction but without large vessel stenosis or occlusion.Conclusion: \"Uncrossed paralysis\" patients may present with contralateral face and body weakness with pontine infarcts, if the infarct occurs above the level of the facial nucleus head, and may be simmilar with the higher level pontine lesions or cerebrum semisphere infarction, which need particular attention during clinical practice.","PeriodicalId":49758,"journal":{"name":"Neurologist","volume":" ","pages":"419-421"},"PeriodicalIF":1.1000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627535/pdf/","citationCount":"0","resultStr":"{\"title\":\"\\\"Uncrossed Central Facial Paralysis\\\" Caused by Pontine Infarction: A Case Report.\",\"authors\":\"Liwen Zhao, Bingcheng Ren\",\"doi\":\"10.1097/NRL.0000000000000500\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Introduction: We report a patient with extraordinary pontine infarction-induced contralateral central facial palsy and weakened limb strength.Case report: This is a 66-year-old man with left arm movement difficulty for 10 days and worsening over the last 1 day. His left nasolabial fold flattening and left arm strength and sensory were decreased. He could not complete the finger-nose test well with his right hand. Magnetic resonance and magnetic resonance angiography tests confirmed his right pontine acute infarction but without large vessel stenosis or occlusion.Conclusion: \\\"Uncrossed paralysis\\\" patients may present with contralateral face and body weakness with pontine infarcts, if the infarct occurs above the level of the facial nucleus head, and may be simmilar with the higher level pontine lesions or cerebrum semisphere infarction, which need particular attention during clinical practice.\",\"PeriodicalId\":49758,\"journal\":{\"name\":\"Neurologist\",\"volume\":\" \",\"pages\":\"419-421\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2023-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627535/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Neurologist\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/NRL.0000000000000500\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Neurologist","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NRL.0000000000000500","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

摘要

引言：我们报告了一名患有非凡脑桥梗死的患者，该患者由对侧中枢性面瘫和肢体力量减弱引起。病例报告：这是一名66岁的男子，左臂运动困难持续10天，并在过去1天内恶化。他的左鼻唇沟变平，左臂力量和感觉下降。他不能用右手很好地完成指鼻测试。磁共振和磁共振血管造影术检查证实了他的右桥急性梗死，但没有大血管狭窄或闭塞。结论：“非交叉性麻痹”患者如果梗死发生在面核头部以上，可能会出现对侧面部和身体虚弱的脑桥梗死，并且可能与临床上需要特别注意的较高水平的脑桥病变或大脑半球梗死相似。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

"Uncrossed Central Facial Paralysis" Caused by Pontine Infarction: A Case Report.

Introduction: We report a patient with extraordinary pontine infarction-induced contralateral central facial palsy and weakened limb strength.

Case report: This is a 66-year-old man with left arm movement difficulty for 10 days and worsening over the last 1 day. His left nasolabial fold flattening and left arm strength and sensory were decreased. He could not complete the finger-nose test well with his right hand. Magnetic resonance and magnetic resonance angiography tests confirmed his right pontine acute infarction but without large vessel stenosis or occlusion.

Conclusion: "Uncrossed paralysis" patients may present with contralateral face and body weakness with pontine infarcts, if the infarct occurs above the level of the facial nucleus head, and may be simmilar with the higher level pontine lesions or cerebrum semisphere infarction, which need particular attention during clinical practice.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Neurologist 医学-临床神经学

CiteScore

1.90

自引率

0.00%

发文量

151

审稿时长

2 months

期刊介绍： The Neurologist publishes articles on topics of current interest to physicians treating patients with neurological diseases. The core of the journal is review articles focusing on clinically relevant issues. The journal also publishes case reports or case series which review the literature and put observations in perspective, as well as letters to the editor. Special features include the popular "10 Most Commonly Asked Questions" and the "Patient and Family Fact Sheet," a handy tear-out page that can be copied to hand out to patients and their caregivers.