CAJ | 학술논문

目的：探讨Wallenberg综合征病因、临床表现及CT、MRI改变。方法：分析1992～1998年住院诊断为Wallenberg综合征17例病人病因，临床表现，CT与MRI改变。结果：Wallenberg综合征病因主要为小脑后下动脉缺血所致，但也有出血性疾病。临床主要表现为：病灶侧软腭声带麻痹，咽反射消失(94．1％)，病灶侧面部及对侧痛温觉障碍(88．2％)，病灶同侧Horner征(82．4％)，病灶同侧小脑性共济失调(70．6％)，眩晕(70．6％)，恶心、呕吐(58．8％)，水平眼震(52．9％)，头痛(23．5％)，呃逆(17．6％)，病灶对侧肢体轻瘫(11．8％)。17例病人发病72h内行头部CT扫描，1例发现延髓有出血，另16例延髓无异常改变。发病72h内头部MRI检查，9例延髓有异常信号改变，5例小脑有异常信号改变，2例基底节区有异常信号改变。结论：Wallenberg是一组多病因综合征。MRI检查优于CT，但并不是所有Wallenberg综合征MRI检查均有阳性发现。
목적：탐토Wallenberg종합정병인、림상표현급CT、MRI개변。방법：분석1992～1998년주원진단위Wallenberg종합정17례병인병인，림상표현，CT여MRI개변。결과：Wallenberg종합정병인주요위소뇌후하동맥결혈소치，단야유출혈성질병。림상주요표현위：병조측연악성대마비，인반사소실(94．1％)，병조측면부급대측통온각장애(88．2％)，병조동측Horner정(82．4％)，병조동측소뇌성공제실조(70．6％)，현훈(70．6％)，악심、구토(58．8％)，수평안진(52．9％)，두통(23．5％)，애역(17．6％)，병조대측지체경탄(11．8％)。17례병인발병72h내행두부CT소묘，1례발현연수유출혈，령16례연수무이상개변。발병72h내두부MRI검사，9례연수유이상신호개변，5례소뇌유이상신호개변，2례기저절구유이상신호개변。결론：Wallenberg시일조다병인종합정。MRI검사우우CT，단병불시소유Wallenberg종합정MRI검사균유양성발현。
To investigate the pathogeny, clinical CT and MRI characteristics of Wallenberg s syndrom.Methods: 17 cases of wallenberg's syndrome were analysed who had received and diagnosed in our hospital from 1992 to1998. Results: The pathogeny of Wallenberg's syndrome mainly was caused by ischemia of the posterior inferior cere-bellar artery, but sometimes was caused by hemorrhage diseases. The clinical manifestations were observed: focal later-al vocal cords paralysis of soft palate, and gag reflex disappear (94.1% ), ipsilateral sensory (pain and heat) impair-ment of the face and contralateral else where (88.2%), focal ipsilateral Homer syndrome (82.4%), focal ipsilateralcerebeller ataxia (70.6%), vertigo (70.6%), nauseatation, vomit (58.8%), level nystagmus (52.9%),headache (23.5%), niccough(17.6%), focal contra lateral limbs paresis (11.8%). Swenteen patients were testedwith cranial CT scanning after occurrence in 72 hours, in which 1 case had medulla oblongata hemorrhage. Howeverwith MRI scanning 9 cases had abnormal signal change in medulla oblongata, 5 cases had abnormal signal change incerebellum, 2 cases had abnormal signal in basal ganglion. Conclusion: Wallenberg is a group of multipathogeny syn-dromo. MRI was better than CT, in diagnosis of the reasons of the syndrome.