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Results Of all 26 patients, 3 cases had posterior inferior cerebellar artery compression on the surface of glossopharyngeal nerve, 2 had arachnoid thickening or synechia around the glossopharyngeal nerve, and 2 cases had space-occupying focus in cerebellopontine angle, confirmed as meningioma and choroid plexus papilloma by pathological examination.

结果 术中发现3例舌咽神经表面有小脑后下动脉压迫;2例舌咽神经根周围有明显的蛛网膜增厚、粘连;2例小脑脑桥角占位性病变,病检为脑膜瘤和脉络丛乳头状瘤。

The NOS positive neurons distributed in wide area of rabbit brain including cerebral cortex, cerebellum ,hypothalamus, mesencephalon and pons.

NOS阳性神经元几乎分布于家兔的各个脑区,包括大脑皮质、小脑、丘脑下部、中脑和脑桥。

Methods Since 1995,1210 cases (including 67 cases of tumors) of trigeminal neuralgia had received the operation of nervous decompression and combing by approach of postauricular suboccipital to the cerebellopontine angle.

回顾性 分析 1210例三叉神经痛患者的临床资料,采用经内镜下耳后小切口乙状窦后入路小脑脑桥角显微血管减压梳理术式或

When located posteriorly at the MDJ, lesions tended to continue downward along the pontine tegmentum and superior cerebellar peduncle, whereas the corticospinal tract was the structure affected in more anteriorly located lesions.

当病灶位于中脑-间脑结合处的偏后方时,倾向于沿着脑桥背盖部和小脑上脚向下延伸;当病灶向下延伸时,红核常不受累。

The fibres of the corticospinal tract, which run craniocaudally in the dorsal pons, the pontine tegmentum, and the superior cerebellar peduncles ventrally, were all preserved, this differential involvement therefore being responsible for the cruciform appearance on MRI.

译:脑桥神经元和横桥纤维严重减少,造成脑桥基底部和小脑中脚的苍白和萎缩。上下走行于脑桥背侧的皮质脊髓束、脑桥背盖部、腹前侧的小脑上脚/结合臂均未受累。这种差异性受累是MRI上出现十字征的原因。

The most commonly affected region was the mesodiencephalic junction, seen in 30 patients (46%), followed by the pontobulbar region in 26 (40%), the hypothalamic-thalamic region in 15 (23%), the basal ganglia in 12, the telencephalon in five, the cerebellum in three, and the cervical cord in three (Table 1). There was no difference in the distribution of lesions between the acute/subacute or chronic phases.

最常见的受累部位为中脑-间脑接合处(mesodiencephalic junction, MDJ),共在30例(46%)患者中发现此处受累;其次为脑桥延髓区,共在26例(40%)患者中发现此处受累;再次为下丘脑-丘脑区,共在15例(23%)患者中发现此处受累;在12(18%)例患者中发现基底节区受累;5例(8%)患者端脑受累;3例(5%)患者小脑受累;3例(5%)患者颈髓受累(表1)。

Artery of vertebra ? base is mixed in cerebella the branch of bridge head, supply the blood of cerebella and bridge head.

椎?基底动脉在小脑和桥脑的分支,供应小脑和桥脑的血液。

They include cerebellum,cerebral cortex,hypothalamus, mesencephalon, and pons.A few of positive cells could be seen in the medulla oblongata. NADPH-d positive neurons appears blue.Their shapes were diversform such as polygon,fusiform,nummular and oval etc. Karyon hasn't pigmentation. Dendriate and axon's pigmentation are clear.

实验一利用NADPH-d酶组织化学技术,对NOS阳性神经元在兔脑的总体分布规律及其衰老性变化进行了系统研究,结果表明:①NADPH-d阳性神经元分布于兔脑各个部位,几乎涉及所有区域:包括小脑、大脑皮质、丘脑下部、中脑、脑桥和小脑,而延髓分布较少。

Of the 26 lesions with pontine and bulbar involvement, three had no association with other lesions (Fig 2). Twelve were associated with tegmental and superior cerebellar peduncular extension, and six showed corticospinal tract involvement in continuity with an MDJ lesion. In one patient with additional telencephalic lesions, the right side of the pons was hyperintense on long TR/TE images that did not cross the midline, suggestive of an arterial lesion (Fig 3). In two patients with pontine tegmental lesions, there was an associated middle cerebellar peduncle and deep cerebellar white matter involvement (Fig 4). Two others had associated cervical lesions.

在26处脑桥延髓区病灶中,3处病灶仅限于脑桥延髓区,其它部位无病灶(图2);12处病灶还同时伴有背盖部和小脑上脚/结合臂处病灶;6处病灶为与中脑-间脑接合处病灶相连的皮质脊髓束受累;还有1例患者除端脑见病灶外,右侧脑桥于T2像也见高信号病灶,但未超越正中线,提示可能系动脉病变所致(图3);2例脑桥背盖部病灶的患者同时伴有小脑中脚/小脑脑桥脚和小脑深部白质受累(图4);还有2处脑桥延髓区病灶还同时伴有颈髓病灶。

One or both sides pontocerebellar cisterna showed occlusion.conclusion occlusion or stenosis of fourth ventricle are the important reliable evidence in diagnosis of terminal transtentorial hernia.

脑桥小脑角池一侧或双侧闭塞。结论:第四脑室闭塞或狭窄是诊断晚期小脑幕裂孔下疝的重要征象。

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