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Clinical analysis of cheiro-pedal syndrome

机译:脚踏板综合征的临床分析

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摘要

Cheiro-pedal syndrome (CPS) is an incomplete pure sensory disorder confined strictly to simultaneous hand/finger and ipsilateral foot/toe symptoms. However, its clinical significance and pathogenesis are unclear. We present nine patients with typical CPS, and review another seven previously reported patients. Ischemic stroke is the leading cause of CPS in these 16 patients. In 13 patients, the lesions responsible were distributed widely in the brain from the corona radiata to the medulla oblongata whereas in three patients the lesions were found in the cervical spinal cord or peripheral nerves. All patients had a favorable outcome. The close proximity of the cheiral and pedal sensory fibers in the pons, thalamus, internal capsule and the caudal thalamocortical projection increases the vulnerability for CPS. Therefore, the underlying cause of CPS should be investigated rapidly despite it causing only minor symptoms. The pathogenesis of CPS may consist of several interacting factors including preconditioned neuronal damage and proximity of the acral sensory fibers.
机译:Cheiro-pedal综合征(CPS)是一种不完全的纯粹感觉障碍,严格限于同时出现的手/手指和同侧脚/脚趾症状。但是,其临床意义和发病机理尚不清楚。我们介绍了9名典型CPS患者,并回顾了另外7名先前报告的患者。在这16例患者中,缺血性卒中是CPS的主要原因。在13例患者中,负责的病变广泛分布在脑中,从电晕放射线到长延髓,而在3例患者中,病变位于颈脊髓或周围神经。所有患者均预后良好。脑桥,丘脑,内囊和尾丘脑皮质突起中的感觉和脚部感觉纤维的紧密距离增加了CPS的脆弱性。因此,尽管CPS仅引起轻微症状,但应迅速调查其根本原因。 CPS的发病机制可能包括几个相互作用的因素,包括预处理的神经元损伤和手足感觉纤维的接近性。

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