左侧

1、Neural network correlated with LIFG and RIFG exists in normal subjects in resting-state,which might be the neural foundation in retaining the normal language function;2、The left fusiform gyrus,bilateral medial frontal gyrus and right anterior cingulum in aphasia patients after stroke showed low degree correlation,that might be one of the mechanisms of aphasia;3、The brain regions showed positive correlation with RIFG in aphasia patients only exist in right hemisphere in resting-state as well as which exist in bilateral hemisphere in normal subjects,suggested that RIFG is out of correlation with the left hemisphere in aphasia patients;4、The left thalamus showed positive correlation with RIFG only in normal subjects, inferred that the left thalamus might be an important mesomerism structure in the correlation of bilateral hemisphere;5、Left insula showed stronger positive correlation with RIFG in normal subjects than that in aphasia patients,suggested that dominant hemisphere insula is important in retaining in normal language function.

1、正常人在静息状态下即存在与LIFG和RIFG具有相关性的神经网络，该网络可能是维持正常语言功能的神经基础；2、脑梗死后运动性失语患者左侧梭状回、双侧额叶内侧回、右侧前扣带与LIFG的连接程度的减低可能是运动性失语的发生机制之一；3、与RIFG正相关的脑区在对照组为双侧半球分布，而在患者组仅出现在右侧半球，说明患者组RIFG与左侧半球的连接中断；4、RIFG与左侧丘脑的正相关性仅出现在正常对照组中，推测左侧丘脑可能是联系两侧半球功能区的重要中介结构；5、对照组与RIFG正相关性明显高于患者组的脑区位于左侧岛叶，说明优势半球岛叶对维持正常语言功能具有重要作用；第二部分脑梗死运动性失语患者语言恢复机制的静息态fMRI初步探讨目的：运用fMRI技术，采用种子点方法在静息状态下分析脑梗死运动性失语患者不同的恢复阶段语言功能连接方式。

Including: frontal lobe (left medial frontal, bilateral frontal gyri and inferior frontal lobe), bilateral parietal lobe, right orbitofrontal lobe, limbic lobe (left anterior and posterior cingulate), left midbrain, left temporal lobe, right insular, right amygdala, left parahippocampus, left thalamus and left cerebellum.

包括：额叶（左侧额叶内侧面、双侧额中回、双侧额下回），双侧顶叶，右侧眶额皮质，边缘叶（左侧扣带回前部、左侧扣带回后部），左侧中脑，左侧颞叶、右侧岛叶、右侧杏仁核、左侧海马旁回、左侧丘脑、左侧小脑。2。

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。

The patient showed atrophy in frontal and temporal lobe on regular MRI, significantly reduced amount of Nacetyl aspartic acid、cholineand creatinecompared with contralateral on MRS , remarkably decreased blood flow in the left temporal polar and front part of fontal lobe compared with contralateral on PWI. There were decreased association fibers between Broca and other regions meanwhile no association fibers were found between triangular area and wernicke region on DTI. The fibers projecting to opercular part of frontal lobe via archiform fibers were lessened. The mean FA and fibers of Broca and Wernick regions were less than that of the healthy subjects.

常规MRI显示左侧额叶及颞叶萎缩；磁共振波谱分析显示左侧颞叶和额叶N乙酰天门冬氨酸、胆碱、肌酸含量较对侧明显减低；磁共振灌注成像显示左侧颞极及额前部的血流量较对侧减低；弥散张量成像显示左Broca区与其他脑区间纤维联系减少，三角区与Wernicke区无纤维联络，左侧Wernicke区通过弓状纤维到达额叶岛盖部的纤维减少，Broca及Wernicke区平均FA及纤维束较正常人减少。

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)°。

Results: The lesion located in the left choana region and left sphenoidal sinus of this case involved the left pharyngeal mucous space, left infratemporal fossa and its adjacent bone structure. CT showed that the rhinoscleroma in granulomatous stage was a soft mass which was irregular in shape, with a well-defined margin, inhomogeneous density and bone destruction. MRI showed heterogeneous hyperintensity on T1WI and isointensity on T2WI with an intermediate heterogeneous enhancement.

结果：病变起源于左侧后鼻孔及左侧蝶窦区，累及左侧咽粘膜间隙、左侧颞下窝及邻近骨质；结合本病例及文献复习，肉芽肿期鼻硬结病CT表现为不规则软组织肿块，轮廓清楚，密度不均匀，可见骨质破坏，残存骨质呈硬化改变；MRI表现为T1WI高信号T2WI等信号影，信号不均匀，增强后中度不均匀强化。

Essential hypertension caused by neurovascular compression of the left ventrolateral medulla was associated with malbalance of vasomotor center in the dorsal medulla. The possible pathogenesis was the following:① An irritation of the left RVLM by pulsatile compression of an ectatic vessel would increase activity of central sympathetic neuron.② Neurovascular compression at the REZ of the cranial nerves Ⅸ and Ⅹ decreased excitation of parasympathetic nerve.③ Decreased sensitivity of afferent inputs to neuron of nucleus tractus solitarii in the sensory area lead to hyperactivity of central sympathetic nervous system due to pulsatile compression of the left RVLM.④ Neurocompression of the left RVLM and REZ in the left cranial nerves Ⅸ and Ⅹ lead to an overactivity of central renin angiotensin system.

3，结论：左侧延髓腹外侧Ⅸ、Ⅹ颅神经REZ动脉血管压迫所导致的高血压的发生与左侧延髓血管运动中枢对血压的调节失衡有关，其可能机制是：①左侧RVLM在搏动性血管压迫刺激下，中枢交感神经元活性增高；②左侧Ⅸ、Ⅹ颅神经REZ受压导致副交感神经兴奋性降低；③感受区孤束核神经元接受迷走神经传入冲动的敏感性减低，导致中枢交感神经活性增高；④左侧RVLM及Ⅸ、Ⅹ颅神经REZ受压引起中枢RAS活性增加。

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。

Result: Compared to normal subjects, some functional regions associated with encoding, maintenance and retrieval process showed increased activation in schizophrenia patients, i.e. right precuneus for encoding process, left PMA, left DLPFC, right precuneus and left VLPFC for maintaince process, left PMA for retrieval process. In addition, subcortical structures, primary motor cortex and some verbal regions in left temporal lobe also showed more activation.

结果：与正常组比较，患者组工作记忆不同认知过程的执行脑区激活程度增加，编码期激活增加脑区为右侧楔前叶，维持期激活增加脑区为左侧PMA、左侧DLPFC、右侧楔前叶及左侧VLPFC，提取期激活增加脑区为左侧PMA，而且患者组还激活了更多皮层下结构、初级运动皮层及左侧颞叶语言相关脑区。

In the United States, chronic alcoholism and hepatitis C are the most common ones.

在美国，慢性酒精中毒，肝炎是最常见的。

If you have any questions, you can contact me anytime.

如果有任何问题，你可以随时联系我。