Clinical Study of Twenty-One Patients with Pure Midbrain Infarction

被引：40

作者：

Ogawa, Katsuhiko ^{[1
]}

Suzuki, Yutaka ^{[1
]}

Oishi, Minoru ^{[1
]}

Kamei, Satoshi ^{[1
]}

机构：

[1] Nihon Univ, Sch Med, Div Neurol, Dept Med,Itabashi Ku, Tokyo 1738610, Japan

来源：

EUROPEAN NEUROLOGY | 2012年 / 67卷 / 02期

关键词：

Penetrating arteries; Pure midbrain infarction; Magnetic resonance angiography; Magnetic resonance imaging; VERTICAL GAZE; BRAIN-STEM;

D O I：

10.1159/000334105

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

We investigated the neurological and MRI findings of 21 patients with pure midbrain infarction. The locations of the infarcts were classified into paramedian (PM) area (13 patients), lateral area (6 patients), and PM and lateral areas (1 patient), based on the distribution of each penetrating artery of the midbrain. The infarction of 1 patient showed bilateral multiple lesions. In the PM area group, 12 patients showed eye movement disorders and truncal and gait ataxia. Eye movement disorders consisted of medial longitudinal fasciculus syndrome, oculomotor nerve palsy, and bilateral vertical gaze palsy. The infarcts of the 2 patients with bilateral vertical gaze palsy were located in the PM area on both sides. Eye movement disorders and truncal and gait ataxia were prominent in the PM area group. Ataxic hemiparesis was shown in 2 patients of the PM area group and 4 patients of the lateral area group. We showed that ataxic hemiparesis also occurred in PM area infarction, although ataxic hemiparesis was a prominent feature of lateral area infarction. Copyright (c) 2011 S. Karger AG, Basel

引用

页码：81 / 89

页数：9

共 18 条

[1] A hypothetical scheme for the brainstem control of vertical gaze
Bhidayasiri, R
Plant, GT
Leigh, RJ
[J]. NEUROLOGY, 2000, 54 (10) : 1985 - 1993
[2] PURE MIDBRAIN INFARCTION - CLINICAL SYNDROMES, MRI, AND ETIOLOGIC PATTERNS
BOGOUSSLAVSKY, J
MAEDER, P
REGLI, F
MEULI, R
[J]. NEUROLOGY, 1994, 44 (11) : 2032 - 2040
[3] VERTICAL GAZE PARALYSIS AND THE ROSTRAL INTERSTITIAL NUCLEUS OF THE MEDIAL LONGITUDINAL FASCICULUS
BUTTNERENNEVER, JA
BUTTNER, U
COHEN, B
BAUMGARTNER, G
[J]. BRAIN, 1982, 105 (MAR) : 125 - 149
[4] The oculomotor nuclear complex in humansMicroanatomy and clinical significanceLe complexe nucléaire du nerf oculomoteur de l'homme — Microanatomie et importance clinique
R. Donzelli
S. Marinkovic
L. Brigante
I. Nikodijevic
F. Maiuri
O. de Divitiis
[J]. Surgical and Radiologic Anatomy, 1998, 20 (1) : 7 - 12
[5] Goto N, 1986, Medical Tribune, P90
[6] Goto N, 1988, MED TRIBUNE, P58
[7] Goto N, 1988, MED TRIBUNE, P64
[8] Anatomical parcellation of the brainstem and cerebellar white matter: a preliminary probabilistic tractography study at 3 T
Habas, Christophe
Cabanis, Emmanuel Alain
[J]. NEURORADIOLOGY, 2007, 49 (10) : 849 - 863
[9] Internuclear and supranuclear disorders of eye movements: clinical features and causes
Karatas, M.
[J]. EUROPEAN JOURNAL OF NEUROLOGY, 2009, 16 (12) : 1265 - 1277
[10] Pure midbrain infarction - Clinical, radiologic, and pathophysiologic findings
Kim, JS
Kim, J
[J]. NEUROLOGY, 2005, 64 (07) : 1227 - 1232

← 1 2 →