頁籤選單縮合
題 名 | Lateral Medullary Infarction Presenting Contralateral Palatal Paresis=以對側軟顎麻痺為表現之側延髓梗塞 |
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作 者 | 陸建民; 黃紫英; | 書刊名 | Acta Neurologica Taiwanica |
卷 期 | 17:4 2008.12[民97.12] |
頁 次 | 頁239-242 |
分類號 | 415.945 |
關鍵詞 | 側軟顎麻痺; 側延髓梗塞; Soft palate paresis; Lateral medullary infarction; Nucleus ambiguus; Peri-ambigual reticular formation; Disconnection dysphagia; |
語 文 | 英文(English) |
英文摘要 | Palatopharyngeal paresis has never been reported to be contralateral in the lateral medullary infarction (LMI). A 65-year-old lady with acute dorsolateral infarction in the left medulla presented mild hoarseness, mild dysphagia, mild gait ataxia along with marked hypalgesia and thermoanesthesia on the right limbs. To our surprise, palatal weakness was on the right side, instead of being on the left side as expected in typical Wallenburg syndrome. The palatal paresis was noted during voluntary phonation but turned into normal movement while gag reflex was induced. An involvement of corticobulbar fibers before synapsing into the ipsilateral caudal medulla or a selective involvement of the peri-ambigual reticular formation and/or its post-synaptic connection fiber destined to the contralateral swallowing center presumably underlies such a rare contralateral palatal paresis. |
本系統中英文摘要資訊取自各篇刊載內容。