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右侧

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Five months after discharge examination showed diffusely increased deep tendon reflexes, mainly on the right, clonus of the right ankle, absent abdominal reflexes and right facial hypoaesthesia.

出院5个月后神经系统查体示:腱反射广泛亢进,右侧更明显;右侧踝阵挛;腹壁反射消失;右侧面部感觉减退。

Results:The distance from the front wall of sphenoid sinus to the nasal spine was 56.5±5.9 mm for left and 54.9±7.2 mm,44.3±6.5 ,,for left and 44.0±6.5 mm for right to nasion.The average distance from middle point of sphenoid saddle bottom to nasal spine was 74.5±6.4 mm for left and 73.8±6.8 mm for right,60.9±7.2 mm and 60.2±7.8 mm to nasion.

结果:前鼻棘至蝶窦前壁的平均距离:左侧:56.5±5.9mm;右侧:54.9±7.2mm;鼻根点至蝶窦前壁的平均距离:左侧:44.3±5.6mm;右侧:44.0±6.5mm;前鼻棘至鞍底中点的平均距离:左侧:74.5±6.4mm;右侧:73.8±6.8mm;鼻根点至鞍底中点的平均距离:左侧:60.9±7.2mm;右侧:60.2±7.8mm。

The average distance from middle point of sphenoid saddle bottom to nasal spine was 74.5±6.4 mm for left and 73.8±6.8 mm for right,60.9±7.2 mm and 60.2±7.8 mm to nasion.

结果:前鼻棘至蝶窦前壁的平均距离:左侧:56.5±5.9mm;右侧:54.9±7.2mm;鼻根点至蝶窦前壁的平均距离:左侧:44.3±5.6mm;右侧:44.0±6.5mm;前鼻棘至鞍底中点的平均距离:左侧:74.5±6.4mm;右侧:73.8±6.8mm;鼻根点至鞍底中点的平均距离:左侧:60.9±7.2mm;右侧:60.2±7.8mm。

Results: Transverse diameters of left and right humeral heads were (40.67±1.90)mm and (40.49±1.36)mm, vertical diameter (44.54±1.31)mm and (43.45±1.48)mm, retroversion angle (26.59±1.36)° and (26.85±1.61)°, max interval of humeral head-tuberosity (6.63±1.13)mm and (6.80±1.02)mm, humeral head-shaft angle (l34.320±3.49)° and (135.58±1.50)° respectively.

结果:肱骨头横径:左侧(40.67±1.90)mm,右侧(40.49±1.36)mm;肱骨头纵径:左侧(44.54±1.31)mm,右侧(43.45±1.48)mm;肱骨头后倾角:左侧(26.59±1.36)°,右侧(26.85±1.61)°;头结节距(肱骨头最高点至大结节最高点的垂直距离):左侧(6.63±1.13)mm,右侧(6.80±1.02)mm;颈干角:左侧(134.320±3.49)°,右侧(135.58±1.50)°。

3 Patients were in the acutestage,〓FDG and 〓NH〓 PET showed brain stem infarction in 2 patients, while CT was normal. MRA of one of them showed right vertebral artery obstruction. One case showed focal infarction within the territory of the right middle cerebral artery 12 hours after stroke onset.〓NH〓 uptake was reduced in right frontoparietal lobe, putamen and part of thalamus, while hyperperfusion was observed in ipsilateral head of caudate nucleus and a portion of thalamus.

急性期3例,2例〓FDG和〓NH〓均示病灶位于右侧脑干为放射性缺损区,CT检查均未显示,1例MRA示右侧椎动脉阻塞:另1例〓FDG示病灶在右侧大脑中动脉区域,与12小时CT所示病灶范围相同,但12小时的〓NH〓示右侧额、顶叶,壳核和部分丘脑为放射性减低和缺损区,而同侧尾状核头部和部分丘脑为过度灌注;发病24小时〓FDG显示除〓NH〓所见缺损区外,右侧额、顶叶部分区域和右侧尾状核头部代谢异常增高,血流和代谢有不一致处。

Results There were 14 unconscious patients of hypoglycemic syndrome, of them, there were 3 patients with transient hypoglycemic hemiparesis on the right,2 with hypoglycemic hemiplegia on the right, 1 with transient hypoglycemic hemiparesis on the left ,1 with hypoglycemic hemiplegia on the left and 1 right-left mixed hypoglycemic hemiparesis patient and there were 3 patients with right side Babinski's sign.

结果 14例低血糖误诊的病例中神志模糊5例,昏迷9例,14例中发作性右侧轻偏瘫3例,右侧偏瘫2例,左侧轻偏瘫1例,左侧偏瘫1例,右侧肢体瘫痪与左侧肢体瘫痪交替出现的1例,右侧巴宾斯基征阳性3例。

We didn\'t find activated points in cerebellum and deeper brain.3.Acupuncture of sham point can significantly activated BA2,6,8,13,21,37,40,44,45,47,putamen and other areas.Both the left and right side of the brain have activated points,but points on the right side are more than those on the left.Both sides of middle temporal gyms,parietal lobule,supramarginal gyms and the lentiform nucleus have obvious activated points.The activated points mainly concentrated in the cerebral cortex,the deep-activated are mainly in the putamen.4. Sham needling in sham point can significantly activate BA6, 8,9,10,18,21,37,40,43,44.The activated points are mainly distributed in the right side of the brain.The left side also has some activated points;5.In the comparasion of Acupunture and sham-needling in S J5,we find that BA8 and cerebellum have distinct regional activated points;6.In the comparasion of acupuncture in SJ5 and sham point,we find BA2 and left cerebellar regions have activated points;7.Sham needling in S J5 compared with sham point,we find BA7,8,9,18 and other areas have activated points,the main activated points are at the left brain.It is not difficult to find that the distribution of activated points are mainly in the middle brain,no obvious activated points at the temporal lobe.

结果:通过对数据的处理和分析,我们初步发现:1、外关穴真针刺能显著激活Brodmann area45、37、44、40、22、13、37、47区、海马、杏仁核、黑质等区域,小脑左侧更明显,左侧颞叶皮层激活点多于右侧,且脑部左侧深层激活点多于右侧;2、外关穴假针刺能显著激活BA46、44、41、13、40、37、19区等区域,激活点主要集中表现在大脑皮层,以颞叶为主,小脑及深部未发现明显激活点;3、非穴真针刺组结果分析初步表明,BA2、6、8、13、21、37、40、44、45、47区以及壳核等区域有激活点,大脑左、右侧均有激活点,但右侧更多,双侧颞中回、顶叶下小叶、缘上回及豆状核有明显激活点,激活点主要集中在大脑皮层,深部激活点主要在壳核;4、非穴假针刺能显著激活BA6、8、9、10、18、21、37、40、43、44区等区域有激活点,主要分布在大脑的右侧,左侧也有不少激活点,就其具体分布主要在颞叶和额叶,少部分分布在顶叶和枕叶;5、外关穴真针刺与假针刺对比发现,BA8区和小脑等区域有明显的激活点;6、外关穴真针刺与非穴真针刺对比发现BA2区、左侧小脑等区域有激活点;7、外关穴假针刺与非穴假针刺对比发现,BA7、8、9、18等区有激活点,主要反应点在左侧大脑的枕叶中回、楔叶,顶叶楔前叶及额上回、中回,就其分布不难看出主要在大脑中部,颞叶未见明显激活点。

Results the first segment of vertebral artery track in the osseofibrous sheath; the outside diameters at the middle point of this artery segment were 3.63±0.85mm and 3.12±0.74mm in male but 3.03±0.53mm and 2.98±0.84mm in female.the lengths of this artery segment were 61.20±6.80mm and 61.60±5.30mm in male but 59.70±5.80mm and 58.30±8.10mm in female.

结果 椎动脉横突段走行在骨纤维鞘内,中点外径男性左侧为(3.63±0.85)mm、右侧为(3.12±0.74)mm,全长左侧为(61.20±6.80)mm 、右侧为(61.60±5.30)mm;中点外径女性左侧为(3.03±0.53)mm 、右侧为(2.98±0.84)mm;全长左侧为(59.70±5.80)mm 、右侧为(58.30±8.10)mm。

Right postcentral gyrus of frontal lobe(BA2,BA1),left inferior frontal gyrus(BA47),postcentral gyrus(BA43),right inferior parietal lobule(BA40),left superior temporal gyrus(BA22) and right insular(BA13) were evoked by twisting Shenmen point;Left inferior parietal lobule(BA40),right inferior frontal gyrus(BA45,BA46),left medial temporal gyrus and medial temporal gyrus(BA37) and left superior frontal gyrus(BA10) were evoked by twisting Yanglao point.

神门穴主要激活了右侧额叶的中央后回BA2、BA1,左侧额下回BA47和中央后回BA43,其次为右侧顶叶的顶下小叶BA40,左侧颞叶的颞上回BA22,右侧脑岛BA40;养老穴主要激活了左顶叶的顶下小叶BA40,右侧额叶的额下回BA45、BA46,其次为左侧颞中回、颞下回BA37,左额上回BA10。

Results Before treatment, the baseline rCBF of right frontal and temporal lobes were lower in schizophrenics than that of in controls. After treatment, rCBF of these two regions in schizophrenics were significantly improved. No significant correlation was found between rCBF in different brain regions and psychopathologic symptoms and efficacy as well.

结果治疗前病例组右侧额叶与右侧颞叶rCBF低于对照组(各P.05),治疗后右侧额叶与右侧颞叶rCBF较治疗前明显增加(各P.05);治疗前不同脑区rCBF与精神病理症状(含单个症状评分和因子分)和疗效均无显著性相关。

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