alterniruyushie sindromi

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alterniruyushie sindromi alterniruyushie sindromi podgotovil: magistr 3-kursa nevrologii raximov nurillo chto takoe alterniruyushie sindromi? alterníruyushie sindromi (lat. alterno — cheredovatsya; sinonimi: alterniruyushie paralichi, perekrestnie paralichi) — sindromi, kotorie sochetayut v sebe porajenie cherepnix nervov na storone ochaga s provodnikovimi rasstroystvami dvigatelnoy i chuvstvitelnoy funktsiy na protivopolojnoy storone. vidi alterniruyushix sindromov pedenkulyarnie pontinnie bulbarnie vebera benedikta kloda notnagelya fua miyyara-gyublera brisso-sekara fovilya raymona-sestana djeksona avelisa shmidta babinskogo-najotta vallenberga-zaxarchenko tapia a takje imeyutsya smeshannie tipi alterniruyushix sindromov! naprimer: sindrom glika pedenkulyarnie alterniruyushie sindromi alterniruyushiy sindrom vebera sindrom vebera voznikaet pri povrejdenii yadra ili koreshka glazodviatelnogo (3 chmn) nerva i volokon piramidnogo puti na storone patologicheskogo ochaga - ptoz, rasxodyasheesya kosoglazie, midriaz. na protivopolojnoy storone – tsentralniy parez ili plegiya (takje vozmojen tsentralniy parez litsa i yazika). storona ochaga ptoz rasxodyashee kosoglazie midriaz spasticheskiy gemiparez ili gemiplegiya vozmojno tsentalniy parez litsa i yazika alterniruyushiy sindrom benedikta sindrom benedikta obuslovlen porajeniem yadra 3 chmn, …

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a adiadoxokinez gemiataksiya snijenie mishechnogo tonusa alterniruyushiy sindrom notnagelya voznikaet pri porajenii yadra 3 chmn, verxney nojki mozjechka, krasnogo yadra, lateralnoy petli, piramidnogo puti. na storone ochaga ptoz, rasxodyashee kosoglazie, midriaz, gluxota. na protivopolojnoy storone xoreoatetoz, spasticheskiy gemiparez, tsentralniy paralich 7 i 12 chmn. storona ochaga ptoz rasxodyashee kosoglazie midriaz gluxota xoreoatetoz spasticheskiy gemiparez tsentralniy paralich mishts litsa i yazika sindrom fua (verxniy sindrom krasnogo yadra) ne yavlyaetsya istinnim alterniruyushim sindromom patologicheskaya simptomatika budet tolko na protivopolojnoy storone ochaga v vide atetoidnoe dvijenie, intentsionniy tremor, mojet bit gemianesteziya storona ochaga atetoidnoe dvijenie intetsionniy tremor mojet bit gemianesteziya pontinnie alterniruyushie sindromi alterniruyushiy sindrom miyyara-gyublera nablyudaetsya pri porajenii 7 chmn i piramidnogo puti na storone ochaga perefericheskiy paralich litsevogo nerva, v protivopolojnoy tsentralnaya gemiplegiya ili gemiparez storona ochaga perefericheskiy paralich mimicheskix mishts tsentralniy gemiparez (gemiplegiya) alterniruyushiy sindrom brisso-sikara voznikaet pri razdrajenii yadra 7 chmn i porajenii piramidnogo puti na storone ochaga gemispazm …

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medialnoy petli i piramidnogo puti. na storone porajeniya – gemiataksiya, xoreoatitoidniy giperkinez, parez vzora v storonu ochaga. na protivopolojnoy storone tsentralnaya gemiplegiya ili gemiparez, gemianesteziya. storona ochaga gemiataksiya xoreoatetoidniy giperkinez parez vzora v storonu ochaga tsentralniy gemiparez (gemiplegiya) gemianesteziya bulbarnie alterniruyushie sindromi alterniruyushiy sindrom djeksona voznikaet pri porajenii pod'yazichnogo nerva (12 chmn) i volokon piramidnogo puti. na storone ochaga perefericheskiy paralich mishts (otklonenie yazika v storonu porajeniya, atrofiya polovini yazika, inogda fibrillyarnie i fastsikulyarnie podergivaniya polovini yazika). na protivopolojnoy ochage storone tsentralnaya gemiplegiya ili gemiparez storona ochaga perifericheskiy paralich mishts yazika (yazik smotrit v storonu ochaga) tsentralniy gemiparez (gemiplegiya) alterniruyushiy sindrom avellisa sindrom avellisa voznikaet pri porajenii dvigatelnogo yadra blujdayushego nerva (10 chmn), yazikoglotochnogo nerva (9-chmn) i piramidnogo puti. na storone ochaga imeetsya perifericheskiy paralich myagkogo neba, yazichok tyanetsya v zdorovuyu storonu, narushenie glotaniya, fonatsii, rechi. na protivopolojnoy storone tsentralnaya gemiplegiya (gemiparez) storona ochaga disfagiya dizartriya disfoniya yazichok tyanetsya v …

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otalamicheskogo trakta, medialnoy petli. na storone porajeniya mozjechkovie rasttroytsva (gemiataksiya, asinergiya, lateropulsiya) , sindrom gornera. na protivopolojnoy storone – tsentralnaya gemiplegiya(gemiparez), gemianesteziya. storona ochaga sindrom gornera gemiataksiya asinergiya lateropulsiya tsentralniy gemiparez (gemiplegiya) gemianesteziya alterniruyushiy sindrom vallenberga-zaxarcheko obuslovlen porajeniem dvigatelnogo yadra 9 i 10 chmn, spinnomozgovoe yadro troynichnogo nerva (5 chmn), simpaticheskie volokon, nijney mozjechkovoy nojki, spinotalamicheskogo trakta, inogda piramidnogo puti na storone ochaga – perifericheskiy paralich myagkogo neba i golosovoy skladki, narushenie poverxnostnoy chuvstvitelnosti na polovine litsa po segmentarnomu tipu, sindrom gornera, gemiataksiya. na protivopolojnoy storone – narushenie poverxnostonoy chuvstvitelnosti po gemitipu, inogda tsentralniy gemiparez storona ochaga sindrom gornera gemiataksiya perifericheskiy paralich myagkogo neba i golosovoy skladki narushenie poverxnostnoy chuvstvitelnosti (bol, temperatura) gemianesteziya inogda tsentralniy gemiparez alterniruyushiy sindrom tapia voznikaet pri sochetannom porajenii 11 i 12 chmn, piramidnogo trakta na storone porajeniya perifericheskiy paralich grudino-klyuchichno-sostsevidnoy mishtsi, trapetsievidnoy mishtsi i mishts yazika. na protivopolojnoy storone – tsentralnaya gemiplegiya(gemiparez) storona ochaga perifericheskiy …

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alterniruyushie sindromi alterniruyushie sindromi podgotovil: magistr 3-kursa nevrologii raximov nurillo chto takoe alterniruyushie sindromi? alterníruyushie sindromi (lat. alterno — cheredovatsya; sinonimi: alterniruyushie paralichi, perekrestnie paralichi) — sindromi, kotorie sochetayut v sebe porajenie cherepnix nervov na storone ochaga s provodnikovimi rasstroystvami dvigatelnoy i chuvstvitelnoy funktsiy na protivopolojnoy storone. vidi alterniruyushix sindromov pedenkulyarnie pontinnie bulbarnie vebera benedikta kloda notnagelya fua miyyara-gyublera brisso-sekara fovilya raymona-sestana djeksona avelisa shmidta babinskogo-najotta vallenberga-zaxarchenko tapia a takje imeyutsya smeshannie tipi alterniruyushix sindromov! naprimer: sindrom glika pedenkulyarnie alterniruyushie sindromi a...

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