42例老年延髓背外侧综合症临床分析

Clinical Analysis of 42 Cases of Senile Medullary Dorsal Lateral Syndrome

目的：研究老年患者延髓背外侧综合征。方法回顾分析2009年6月-2013年6月我科收治老年延髓背外侧综合征患者42例的临床资料、影像学资料。结果本组患者均急性或亚急性起病,以眩晕为最常见主诉,查体多见水平眼震、感觉障碍和共济失调，MRI检查有助于明确责任病灶及可能的病因。结论老年延髓背外侧综合征的诊断主要依据临床特征及MRI表现,大部分预后较好。

Objective To analysis elderly patients with medulla oblongata dorsolateral syndrome. Methods 42 cases of senile medulla oblongata dorsolateral syndrome in patients with clinical data and imaging data were retrospectively analyzed. Results The patients were acute or subacute onset, with the most common chief complaints of dizziness, nystagmus was more levels of body check, feels obstacle and ataxia, MRI can help clear responsibility lesions and possible causes. Conclusion Elderly medulla oblongata dorsolateral syndrome diagnosis is mainly based on clinical features and MRI performance, most prognosis is good.