PDF(Pubmed)
Abstract：
BACKGROUND: Stroke is rarely accompanied with peripheral facial paralysis and supranuclear palsy of the hypoglossal nerve. Both sides of the motor cortex innervate the hypoglossal nucleus; therefore, unilateral lesions of the upper motor neurons rarely result in contralateral lingual paresis. We report a rare case of crossed syndrome with associated hyperacute peripheral hemifacial paralysis and contralateral lingual paresis after a lower pontine tegmentum ischemic stroke.
METHODS: A 73-year-old man presented with symptoms of hyperacute peripheral hemifacial paralysis. Upon protrusion, the patient\'s tongue deviated to the contralateral side, without fasciculation or atrophy. Brain imaging showed focal ischemic stroke in the pontine tegmentum. However, lingual hemiparesis and multimodal neuroimaging findings differed.
CONCLUSIONS: We suggest that cortico-hypoglossal fibers pass through the dorsal pontine. This case of crossed syndrome is a rare report of a lower pontine tegmentum ischemic stroke resembling an upper motor neuron lesion of the contralateral hypoglossal nerve.
METHODS: A 73-year-old man presented with symptoms of hyperacute peripheral hemifacial paralysis. Upon protrusion, the patient\'s tongue deviated to the contralateral side, without fasciculation or atrophy. Brain imaging showed focal ischemic stroke in the pontine tegmentum. However, lingual hemiparesis and multimodal neuroimaging findings differed.
CONCLUSIONS: We suggest that cortico-hypoglossal fibers pass through the dorsal pontine. This case of crossed syndrome is a rare report of a lower pontine tegmentum ischemic stroke resembling an upper motor neuron lesion of the contralateral hypoglossal nerve.
摘要：
背景：中风很少伴有周围性面瘫和舌下神经核上麻痹。运动皮层的两侧支配舌下神经核；因此，上运动神经元的单侧病变很少导致对侧舌麻痹。我们报告了一例罕见的交叉综合征，并伴有急性周围性半面瘫和对侧舌麻痹，原因是下脑桥被盖缺血性中风。
方法：一名73岁男性患者出现超急性周围性面瘫症状。突出后，病人的舌头偏向对侧，没有束缚或萎缩。脑成像显示脑桥被盖的局灶性缺血性中风。然而,舌偏瘫和多模态神经影像学检查结果不同。
结论：我们建议皮质-舌下神经纤维穿过背桥。这种交叉综合征的病例是罕见的桥脑下被膜缺血性中风的报道，类似于对侧舌下神经的上运动神经元病变。
方法：一名73岁男性患者出现超急性周围性面瘫症状。突出后，病人的舌头偏向对侧，没有束缚或萎缩。脑成像显示脑桥被盖的局灶性缺血性中风。然而,舌偏瘫和多模态神经影像学检查结果不同。
结论：我们建议皮质-舌下神经纤维穿过背桥。这种交叉综合征的病例是罕见的桥脑下被膜缺血性中风的报道，类似于对侧舌下神经的上运动神经元病变。
