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題 名 | 吞嚥困難表現之Wallenberg's症候群--病例報告=Wallenberg's Syndrome Presenting as Dysphagia--A Case Report |
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作 者 | 蔡佳宏; 許至文; | 書刊名 | 國防醫學 |
卷 期 | 30:2 2000.02[民89.02] |
頁 次 | 頁173-177 |
分類號 | 416.89 |
關鍵詞 | 吞嚥困難; 外側延腦症候群; Dysphagia; Lateral medullary syndrome; |
語 文 | 中文(Chinese) |
中文摘要 | 造成吞嚥困難的原因很多,組織結構異常是最常見的,但也不能忽略腦部血管病變的因素。Wallenberg's症候群又叫外側延腦症候群,為後下小腦動脈阻塞引起外側延腦梗塞。主要的症狀包括暈眩、噁心、嘔吐、吞嚥困難、發音不良等。大部份的患者預後都不錯,但也有少部份病例發生繼發性病變或死亡。本院經歷一個Wallenberg's症候群的病例,患者為72歲男性,主訴6天前突發吞嚥困難,其他無明顯症狀,經過耳鼻喉科檢查、神經學檢查及腦部核磁共振檢查,得到證實。患者接受保守治療,於住院三週後出院,恢復情況良好。 |
英文摘要 | The most common cause of dysphagia is structural disorder. But, the cerebrovascular accidents must be kept in mind. Occlusion of the posterior inferior cerebellar artery may produce infarction of the lateral medulla, resulting in Wallenberg's syndrome, also known as lateral medullary syndrome. Major symptoms include vertigo, nausea, vomiting, dysphagia and dysarthria. Most patients with Wallenberg's syndrome do well. A few cases develop further progression of symptoms and signs. Herein, we reported a 72-year-old male with the only presenting symptom of sudden onset of dysphagia for 6 days. He was confirmed by physical examination and MRI. The conservative treatment was given and the patient was discharged under stable condition 3 weeks after admission. |
本系統中英文摘要資訊取自各篇刊載內容。