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연수경색에 의한 중심성 안면마비 2예

Two Cases of Central Facial Palsy due to Medullary Infarction

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Abstract

According to the anatomical pathways of the corticobulbar tract, it is known that the responsible lesion site of central facial palsy is at the level of the midpons or the more rostral portion. In rare cases, central facial palsy is found in medullary lesions. We report two cases of medullary infarctions which presented as central facial palsy. These cases suggested that the hypothesis that part of the pathway of the facial corticobulbar fibers descend ipsilaterally to the lower medulla before decussating and ascending contralaterally to the facial nucleus.

참고문헌 (7)

  1. "Medial medullary syndrome.Report of 18 new patients and a review of the literature", 26, pp.1548~1552 (1995)
  2. "Medial medullary infarction:analysis of eleven patients", 47, pp.1141~1147 (1996)
  3. "The medullary vascular syndrome revisited", 242, pp.195~202 (1995)
  4. "Fundemental Neuroscience", pp.527~530 (2002), Churchill Livingstone
  5. "Pure motor hemiplegia including the face induced by an infarct of the medullary pyramid", 98, pp.21~23 (1996)
  6. "Central facial weakness due to medial medullary infarction:the course of facial corticobulbar fibers", 63, pp.391~393 (1997)
  7. "Course and distribution of facial corticobulbar tract fibers in the lower brain stem", 69, pp.262~265 (2000)

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