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作者报告1例少见的由原发性颅内血肿所致的共济失调性轻偏瘫。患者男性,65岁,既往健康。在卧床时突感左腿力弱并笨拙,左上肢亦轻度受累,不能坐或行走。检查发现左手指伸肌、左下肢屈肌肌力Ⅳ级,腱反射及跖反射正常;感觉,包括位置觉均正常。左侧指鼻试验及跟膝胫试验阳性,辨距不良和平衡障碍,血压16/10.7kPa(120/80mmHg)。CT及MRI显示右中央前区矢状窦旁一原发性血肿,体积4cm~3,血管造影未见血管畸形,但3个月后复查MR见血肿附近有一小静脉血管瘤;病人3周后完全恢复。
The authors report a rare case of ataxia due to primary intracranial hematoma hemiparesis. Male patient, 65 years old, previously healthy. Sudden discomfort in bed when the left leg weak and clumsy, left upper extremity also mildly involved, can not sit or walk. Examination revealed that the left finger extensor, left lower extremity flexor muscle strength class Ⅳ, tendon reflexes and plantar reflex normal; feeling, including the location of sleep were normal. On the left side of the nose test and knee with shin test positive, poor range and balance disorders, blood pressure 16 / 10.7kPa (120 / 80mmHg). CT and MRI showed the right central anterior sagittal sinus of a primary hematoma, volume 4cm ~ 3, angiography no vascular malformations, but after 3 months of review MR see hematoma near a small hemangioma; patients after 3 weeks full recovery.