摘要
目的探讨Wallenberg综合征患者继发意识障碍的原因分析。方法37例Wallenberg综合征意识障碍患者行头颅影像学检查,对部分患者出现的异常呼吸形式进行分析,侧脑室前角穿刺测定侧脑室压力患者20例(侧脑室穿刺组),记录意识障碍持续时间,并与保守治疗的17例患者(保守治疗组)意识障碍持续时间进行比较。结果Wallenberg综合征意识障碍患者第四脑室闭塞,急性幕上积水;颅内压明显升高;部分患者出现大脑半球受损的呼吸类型;侧脑室穿刺组患者意识障碍迅速恢复(12.7±5.3)h,异常呼吸类型迅速消失。保守治疗组患者意识障碍恢复慢(10.1±5.2)天,两组比较差异有统计学意义(P<0.05)。结论急性幕上积水可能是Wallenberg综合征意识障碍的主要原因。
Objective To explore the cause of consciousness disturbance induced by Wallenberg＇s syndrome. Methods The cerebral iconographic examination was performed in 37 cases and abnormal respiration type in some cases with Wallenberg＇s syndrome and consciousness disturbance was analyzed. The pressure of lateral ventricle was measured by lateral ventriculopuncture in 20 cases（lateral ventriculopuncture group）. Their duration of consciousness disturbance was recorded and compared with that in patients of medical treatment group（17 cases）. Results In patients with Wallenberg＇s syndrome and consciousness disturbance, the fourth ventricle was obstructed, there were acute supratentorial hydrocephalus and increase in the pressure of lateral ventricle. Cerebral hemisphere injury-type respiration appeared in some patients. After lateral ventriculopuncture drainage,the consciousness recovered quickly（12.7±5.3 h） and abnormal respiration type soon disappeared. In patients of medical treatment group, the consciousness recovered slowly （10.1±5.2 days）,the two groups had significant difference（ P〈0.05）. Conclusion Acute supratentorial hydrocephalus may be the main cause of consciousness disturbance induced by Wallenberg＇ s syndrome.
出处
《中华老年心脑血管病杂志》
CAS
北大核心
2008年第3期185-187,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
延髓外侧综合征
意识障碍
侧脑室
颅内压
穿刺术
lateral medullary syndrome
consciousness disorders
lateral ventricles
intracranial pressure
punctures
