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所谓一个半综合征是指:病侧眼球固定居中央位,对侧眼球不能内收而居外展位的侧视运动障碍而言,是脑干综合征之一。1967年由Fisher氏最早报道,临床偶可见到。我院子1980～1986年间收治3例,现报告并讨论如下: 例1:李×,男,56岁,病历号6520。该患于一年前因复视和右侧肢体活动受限曾两次住院,当地医院诊断为“脑血栓”,治疗后遗留右侧肢体麻木。入院前2天中午休息时突感头晕,再次出现复视,无肢体运动障碍及尿便失禁,由门诊以“脑血栓”收容。否认慢性头痛。查体:血压160/100mmHg,右眼不能内收和外展,左限不能内收呈外展位,双眼垂直和辐辏运动正常,眼底动脉变细。内科检查无异常改变。脑脊液压力及各项检查均正常。诊
The so-called one and a half syndrome refers to: the sick side of the eye fixed central position, the contralateral eye can not adduction abduction of lateral visual impairment, is one of the brainstem syndrome. First reported by Fisher in 1967, even clinically visible. My courtyard was treated in 3 cases between 1980 and 1986, are now reported and discussed as follows: Example 1: Lee ×, male, 56 years old, medical history number 6520. The patient was hospitalized twice a year ago because of diplopia and limited right-sided physical activity. The local hospital was diagnosed as “cerebral thrombosis” and left numbness of the right limb after treatment. Two days before admission at noon break suddenly felt dizzy, diplopia appeared again, no limb movement disorders and urinary incontinence, clinics to “cerebral thrombosis” accommodation. Denied chronic headache. Physical examination: blood pressure 160 / 100mmHg, the right eye can not be adduction and abduction, the left can not be adducted adduction, vertical and vergence motion of both eyes, fundus thinner. No abnormal changes in medical examination. Cerebrospinal fluid pressure and various tests were normal. Clinic