背外侧髓体梗死引发自发性眼球震颤提示前庭半规管失衡

Background: Spontaneous nystagmus caused by dorsolateral medullary infarction may be of vestibular origin. Objectives: To test if imbalance of the central pat hways of the semicircular canals contributes to spontaneous nystagmus in dorsola teral medullary syndrome. Methods: We examined four patients with dorsolateral m edullary syndrome and recorded spontaneous nystagmus binocularly at gaze straigh t ahead with the threedimensional search coil technique. The median slow phase velocity of the nystagmus was analysed in the light and in the dark, and the no rmalised velocity axes were compared with the rotation axes as predicted from an atomical data of the semicircular canal. Results: The slow phase rotation axes o f all patients aligned best with the rotation axes resulting from stimulation of the contralesional posterior and horizontal semicircular canals. This alignment cannot be explained by pure otolith imbalance. Conclusion: We propose that vest ibular imbalance caused by an ipsilesional lesion of the central semicircular ca nal pathways of the horizontal and anterior semicircular canals largely accounts for spontaneous nystagmus in dorsolateralmedullary syndrome.

针灸伍用中药治疗帕金森氏病2例报告

病例一:患者,男,年龄52岁,干部。住址:青海省黄南州。病例号:72406。该患者曾在上海、西安诊治过(已确诊为帕金森氏病parkinson′s disease),因收效不甚显著,以及长期在外地治疗很不方便,则返回青海治疗。经友人介绍来到青海医学院病理生理教研室——针灸实验室求治。主要症状:头痛、头摇动为主征(自发性震颤,发作时用双手按压也难以止息。)伴有左侧半身感觉迟钝。舌质红、舌瘦、自汗(夜间尤甚)。不怕寒冷、只畏热。小便短赤。舌苔中间黄。

中药治疗癔病一例

患者林某,女性,17岁,工人,福州人,住院号75269。患者于1964年4月25日由××医院转来我科。进院时主诉为阵发性眩晕伴有心烦胸闷十四日。患者于4月9日上午突然发生眩晕,觉周围物体旋转而昏倒,并伴鼻塞,胸闷,心跳加快,四肢似针刺状疼痛,腰间似麻绳捆住,四肢厥冷,无抽筋,神志清楚。约数分钟之久。当日中午又再发生一次。