中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
32期
118-118,120
,共2页
肥大性橄榄核变性%临床特点%影像学特点
肥大性橄欖覈變性%臨床特點%影像學特點
비대성감람핵변성%림상특점%영상학특점
Hypertrophy of the%Clinical characteristics%Imaging features
目的：探讨肥大性橄榄核变性的临床和影像学特点。方法：回顾性分析6例 HOD 患者的临床和影像学资料。结果：6例患者原发病为脑梗死2例、高血压性脑出血2例、海绵状血管瘤并出血2例；原发病部位为中脑1例、脑桥背侧4例、小脑半球1例；共济失调3例、腭肌阵挛3例、Holmes震颤4例、复视和眼震1例；MRI下橄榄核信号改变距离原发病时间3个月～2年。结论：对于齿状核-红核-下橄榄核通路病变患者，在原发病稳定后数月出现共济失调、锥体外系症状时应注意继发HOD的可能。
目的：探討肥大性橄欖覈變性的臨床和影像學特點。方法：迴顧性分析6例 HOD 患者的臨床和影像學資料。結果：6例患者原髮病為腦梗死2例、高血壓性腦齣血2例、海綿狀血管瘤併齣血2例；原髮病部位為中腦1例、腦橋揹側4例、小腦半毬1例；共濟失調3例、腭肌陣攣3例、Holmes震顫4例、複視和眼震1例；MRI下橄欖覈信號改變距離原髮病時間3箇月～2年。結論：對于齒狀覈-紅覈-下橄欖覈通路病變患者，在原髮病穩定後數月齣現共濟失調、錐體外繫癥狀時應註意繼髮HOD的可能。
목적：탐토비대성감람핵변성적림상화영상학특점。방법：회고성분석6례 HOD 환자적림상화영상학자료。결과：6례환자원발병위뇌경사2례、고혈압성뇌출혈2례、해면상혈관류병출혈2례；원발병부위위중뇌1례、뇌교배측4례、소뇌반구1례；공제실조3례、악기진련3례、Holmes진전4례、복시화안진1례；MRI하감람핵신호개변거리원발병시간3개월～2년。결론：대우치상핵-홍핵-하감람핵통로병변환자，재원발병은정후수월출현공제실조、추체외계증상시응주의계발HOD적가능。
Objective:To investigate the clinical and imaging features of hypertrophic olive nucleus degeneration.Methods:The clinical and imaging data of 6 patients with HOD were analyzed retrospectively.Results:6 cases of patients with primary disease of cerebral infarction in 2 cases,hypertension cerebral hemorrhage in 2 cases,cavernous hemangioma and hemorrhage in 2 cases;primary disease site for 1 case of midbrain,dorsal pons in 4 cases and cerebellar hemisphere in 1 case;ataxia in 3 cases,3 cases of palatal myoclonus,Holmes tremor in 4 cases,diplopia and nystagmus in 1 case;MRI inferior olivary nuclear signal changes from the original time of onset for 3 months to 2 years.Conclusion:For the dentate nucleus-red nucleus lesions olivary nuclear pathway patients,the symptoms of ataxia and the outer cone should be paid attention to in the following months of the primary disease is stable.
