A case of cerebral infarction mainly presenting Nothnagel syndrome.
スポンサーリンク
概要
- 論文の詳細を見る
A 67-year-old woman, who complained of paralysis of right eye movement and ataxia was described. Neurological examination showed complete palsy of right oculomotor nerve, paralysis of upward movement of the left eye. conjugate gaze was possible, and doll's head eye phenomenon and Bell's phenomenon were not elicited; bilateral cerebellar ataxia which was predominantly on the left side more than on the right side; mild consciousness disturbance, disorientation and hallucinations; mild paralysis of the left upper extremity in the first stage. CT and MRI studies revealed infarction in the midbrain tegmentum extended to the right side of the medial thalamus.<BR>The association of unilateral oculomotor palsy, and bilateral ataxia and disturbed upward gaze of contralateral side referred to as Nothnagel syndrome. And clinical features of our case was consistent with those of Nothnagel syndrome.<BR>We concluded that these neurological findings were caused by the vascular lesion of the right oculomotor nucleus, the decussation of the superior cerebellar peduncle, reticular formation of the midbrain, and thalamus.
- 一般社団法人 日本脳卒中学会の論文
一般社団法人 日本脳卒中学会 | 論文
- Two cases with aphasia in the left putaminal damage and one case with visuospatial neglect in the right putaminal damage
- Alterations of plasma von Willebrand factor activity and the influence of anti-platelet drugs in acute cerebral infarction
- Carotid endarterectomy plaques correlation of clinical events and morphology.
- Stenting for stenosis of major cerebrovascular arteries.
- Cerebral infarction following antihypertensive therapy.