《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (12): 1191-1193.

• 论文 • 上一篇    下一篇

脑干出血继发肥大性下橄榄核变性的临床与影像学特点分析：1 例报道

何大楼，邵蓓，卜安彬，黄欢捷   

  1. 安徽省宿州市中煤矿建总医院神经内科，安徽宿州市234000。
  • 收稿日期:2013-05-03 修回日期:1900-01-01 出版日期:2013-12-25 发布日期:2013-12-25

Clinical and Imaging Features of Hypertrophic Olivary Degeneration Secondary to Brainstem Hemorrhage: 1 Case Report

HE Da-lou, SHAO Bei, BO An-bin, et al.   

  1. Department of Neurology, Coal Mine Construction General Hospital, Suzhou 234000, Anhui, China
  • Received:2013-05-03 Revised:1900-01-01 Published:2013-12-25 Online:2013-12-25

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摘要： 目的探讨脑干出血继发肥大性下橄榄核变性(HOD)的临床及影像学特点。方法回顾性分析1 例脑干出血继发HOD患者的临床资料。结果本例患者以阵发性全身不自主抖动等锥体外系症状就诊入院，入院后头颅MRI示延髓双侧下橄榄核区局限性肥大。结论脑干出血继发HOD的临床表现以锥体外系症状为主，影像学改变为下橄榄核区异常信号和局限性肥大。

关键词: 脑干出血, 肥大性下橄榄核变性, 腭肌震颤, 磁共振成像

Abstract: Objective To investigate the clinical and imaging features of hypertrophic olivary degeneration (HOD) secondary to brainstem hemorrhage. Methods The clinical data of one patient with HOD secondary to brainstem hemorrhage was retrospectively analyzed. Results The patient was hospitalized with paroxysmal and body involuntary jitter and other extrapyramidal symptoms. After admission, MRI scan showed bilateral inferior olive nucleus of medulla oblongata were localized hypertrophy. Conclusion The main clinical manifestation of HOD secondary to brainstem hemorrhage is extrapyramidal symptom. The imaging features are abnormal signals and localized hypertrophy at inferior olive nucleus.

Key words: brainstem hemorrhage, hypertrophic olivary degeneration, palatal tremor, magnetic resonance imaging