瘫

Methods. A 60-year-old man with athetoid cerebral palsy and a history of posterior occipitocerical fusion presented with quadriparesis. Salage surgery for cerical myelopathy and pseudarthrosis was performed with laminectomy and rearthrodesis using the pedicle screw system. An intraspinal cyst was identified as the main cause of the paraparesis.

一位60岁的手足徐动症样大脑麻痹患者，既往曾行后路枕颈融合术，临床表现为四肢轻瘫，影像学检查示脊髓型颈椎病和假关节形成，采用椎板切除和椎弓根钉系统关节成形术后，发现椎管内存在的囊肿是导致四肢轻瘫的主要原因。

Methods 42 children with CP (26 males, 16 females, average age 49.5±21.5 months, 11 children with spastic quadriplegia, 22 with spastic diplegia, 5 with spastic hemiplegia, 2 with athetosis and 2 with dystonia) were assessed with Gross Motor Function Classification System and Gross Motor Function Measure for the assessment and classification of gross motor function. Pediatric Evaluation of Disability Inventory PEDD was used to assess the ADL. The ADL of children with different levels of GMFCS and the correlat ion between gross mot or function and ADL were analyzed. Results The more severe of GMFCS, the less standard score of PEDI.

方法对 42例脑瘫患儿（男性26例、女性16例，年龄49.5±21.5个月；痉挛型四肢瘫11例、痉挛型双瘫22例、痉挛型偏瘫5例、徐动型2例、肌张力障碍型2例）采用脑瘫粗大运动功能分级系统和粗大运动功能测试量表进行粗大运动功能分级和评估；采用能力低下儿童评定量表进行日常生活能力评定，分析不同GMFCS等级脑瘫患儿的日常生活能力表现，以及粗大运动功能与日常生活能力之间的相关性。

Both patients had features suggestive of GBS: watery diarrhea in Patient 1 and CSF albuminocytologic dissociation in Patient 2. Patients with bifacial but no limb weakness, acral paresthesias, and diminished tendon jerks are considered to have a regional variant of GBS called facial diplegia and paresthesias.[5] Hyperreflexia, however, was inconsistent with the diagnosis of GBS.

对于出现双侧面瘫但肢体肌力正常或肢体轻度无力、肢端感觉异常、腱反射减弱或消失的患者，应考虑到一种格林-巴利综合征的局部变异型--双侧面瘫伴感觉异常（facial diplegia and paresthesias）的可能；但是，格林-巴利综合征患者出现腱反射亢进，似乎却不那么合理。

Meanwhile, cyanosis of lips, purplish tongue, varicose sublingual vein, flaccidity of lower extremities, hemianesthesia, headache, blackish eyelids, dispiritedness, tongue with ecchymosis, dysphasia, blackish complexion, squamous and dry skin, pain on the paralytic limbs, dermorrhagia, and distension of stomach and abdomen are more influential symptoms and signs.

同时，在相关的临床症状和体征的多元线性逐步回归分析中发现，唇色紫暗、舌质紫暗、舌脉曲张、下肢肌力减弱、偏身麻木、头痛，睑下青黑、精神萎靡、舌有瘀斑、言謇失语、面色晦暗、肌肤甲错、瘫肢疼痛不移、肌肤青紫/有瘀斑及脘腹胀满对脑梗塞血瘀证诊断的影响较大；将单因素分析有显著性意义的症状、体征变量，代入贝叶斯逐步判别分析，结果发现唇色紫暗、舌脉曲张、爪甲紫暗、偏身麻木、舌质紫暗、言謇失语、睑下青黑、头痛、瘫肢温度降低、下肢肌力下降等对血瘀证的诊断能力较强，而且在随后的交互检验中也显示了较好的稳定性。

Results One case was recurred and died 3 days later after second operation. Two cases had hypoglossal nerve injury, 1 temporary lingual paralysis, the other permanent lingual paralysis.

结果 1例手术后1年复发，再次手术后3 d死亡；2例舌下神经损伤，其中暂时性舌瘫1例，永久性舌瘫1例。

Howeer, this procedure sometimes results in segmental motor paralysis without sensory deficit, especially at the C5 myotome, so-called C5 palsy.

然而，有时这种方法导致无感觉异常的节段性运动瘫，尤其在C5支配肌，称为"C5瘫"。

The acoustic sensibility was elevated and the descended abruptly in 3 ears after operation, the drum membrane separated with ossicles in 1 ear, the ossicle detached from oval window in 1 ear, the dislocation of malleus and stirrup in 1 ear.

术后听力提高后又突然下降3耳，其中1耳为重建听小骨与鼓膜分开，1耳为重建听小骨与卵圆窗分开，1耳为锤镫关节脱位，再次手术后听力均明显提高。2耳因胆脂瘤术后面瘫，CT示面神经管鼓室段缺损，再次手术后面瘫症状逐渐消失，但听力与术前相似。

So, on the present time, it is absolutely needed to develop a more objective, reliable, and sensitive measure with less sophisticated for evaluating the diverse medical and surgical treatments for facial paralysis and paresis and for measuring of the spatial and dynamic aspects of facial function.

故在临床工作中上非常需要一种客观、可靠并且敏感而又容易掌握的评价体系对面瘫不同治疗方法的疗效、对不同病程时期面瘫患者面部特殊表象进行评价。

Objective: By observing the pathological changes of peripheral facial paralysis rats facial nerve and the positive neurons of nitric oxide synthase in the expression of facial nerve tissue, to contrast the effect of spininess and shallow needling with Spininess and fast Needling in expression of NOS.

目的：通过观察周围性面瘫模型大鼠面神经病理形态学改变以及面神经组织内一氧化氮合酶阳性神经元的表达，对比多针浅刺与多针速刺对周围性面瘫大鼠面神经NOS表达的影响，探讨针刺治疗周围性面瘫的作用机理。

The typical brain stem four associations sickness performance very rare,many accompany the side main center surface tongue paralysis for the hemiparalysis,the overlapping paralysis is rare,the four limbs paralysis is next.

典型脑干四联症表现很少见，多为偏瘫伴同侧中枢性面舌瘫，交叉瘫少见，四肢瘫次之。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。