原发性中脑出血

Primary mesencephalic hemorrhage

报告５例罕见的原发性中脑出血。复习有关文献，指出本病的主要临床特征是眼球垂直性运动麻痹，特别是上视麻痹被认为是中脑顶益部受损的可靠定位体征。ＣＴ与ＭＥＩ是本病的主要诊断依据。本病预后良好。

t is reported 5 patients with rare primary rnesencephalic hemorrhage,and related literatures werereviewed.It is pointed out that the rnain clinical characteristic of the disease was vertical ophthalmoplegia,especially the upward gaze palsy which was considered as a reliable localizable sign of the darnagedtectum. The diagnosis of primary mesencephalic hemorrhage depended on the CT and MRI findings. Itsprognosis was optimistic.