脑干梗塞较为少见。近10余年来,随着影象技术的发展,国内外文献报道渐增多。现将近几年来所遇到的4例脑干梗塞报道如下。 病例报告 例1,男,53岁,干部。因突起眩晕、呕吐、视物旋转伴吞咽困难,饮水返呛5天入院。既往史无特殊。体查:BP 21/12 kPa,神清,声音低哑,左侧面部痛触觉消失,右侧半身痛触觉减退,左瞳孔3mm,右瞳孔4mm,光反射灵敏,眼底:视乳头边缘清 Brainstem infarction is relatively rare. In the past 10 years, with the development of imaging technology, there are more reports in the literature at home and abroad. Now in recent years encountered 4 cases of brain stem infarction reported below. Case report 1, male, 53 years old, cadre. Due to sudden dizziness, vomiting, depending on the material rotation swallowing difficulties, water back to choke 5 days admission. No previous history. Physical examination: BP 21/12 kPa, clear, low dumbness, left facial pain tactile disappearance of the right side of half-body pain tactile hypnosis, left pupil 3mm, right pupil 4mm, light reflex sensitivity, fundus: papillae margin