同侧偏瘫共济失调症(附20例报告)

Ipsilateral ataxic hemiparesis-report of 20 cases

患者发生偏瘫,在偏瘫侧又合并有小脑性共济失调征者称为同侧偏瘫共济失调症。国外1965年 Fisher 首次报道。当时已认识到这是一种卒中综合征,至于何处病灶造成同侧的偏瘫与共济失调未能解决。以后国外陆续有报道。国内我院曾报告3例,我们收集1963年至今住院患者共20例,报道如下,并结合病例对该病之病因、临床表现、定位、治疗与预后等问题进行讨论。

20 cases of ipsilateral ataxic hemiparesis were reported in this article.these patients inclu- ded 18 males and 2 females aged 47～79 years with an average of 65 years.the main clinical menifestations were:1.only mild motor weakness,which of the lower limb was more severe than that of the upper arm in most of the patients;2,a definite cerebellar ataxia out of proportion to the mild degee of weakness;3.facial palsy which was more frequent than tongue palsy;4. heminumbness of the limb,which was complicated in most of the patients.on the basis of C Tsca- nning,the localization of the lesion is in the outside body of lateral ventricle in 8 cases;in the posterior limb of internal capsule and the superior portion of them in 3;in the ventral portion of pons in 1 and superior portion of anterior limb of internal capsule in 1.The causation is mostly hypertensive arteriosclerosis.the prognosis is usually good.