上交代性片麻痺
WordNet
- of or characteristic of high rank or importance; "a superior ruler"
- one of greater rank or station or quality (同)higher-up, superordinate
- the head of a religious community
- (often followed by `to'
- (sometimes followed by `to'
- having an orbit farther from the sun than the Earths orbit; "Mars and Jupiter are the closest in of the superior planets"
- of high or superior quality or performance; "superior wisdom derived from experience"; "superior math students"
- paralysis of one side of the body (同)unilateral paralysis
- a town in northwest Wisconsin on Lake Superior across from Duluth
- (of a current) reversing direction; "alternating current"
PrepTutorEJDIC
- (程度・質が)『普通(平均)以上に優れた』,優秀な / (地位・階級などが)『上位の』,上級の,目上の / (数量的に)勝る,優勢な / (用動が)偉ぶった,高慢な / 《補語にのみ用いて》(…に)屈しない,動じない《+to+名》 / 《名詞の前にのみ用いて》(動・植物の器官や部分が)上位の,上についている / (地位・階級などが)『上位の人』,上役,上司,先輩 / 『いっそう優れた人』 / 《しばしば S-》修道院長
- スペリオル湖(lake~;北米五大湖中で最北最大のもの)
- 交互の
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/09/02 22:27:53」(JST)
[Wiki en表示]
| Weber's syndrome |
|
Midbrain cross section showing lesion
|
| Classification and external resources |
| ICD-10 |
G46.3 |
| ICD-9-CM |
344.89 |
| DiseasesDB |
31247 |
| MeSH |
D020526 |
Weber's syndrome (superior alternating hemiplegia) is a form of stroke characterized by the presence of an ipsilateral oculomotor nerve palsy and contralateral hemiparesis or hemiplegia.
Contents
- 1 Cause and presentation
- 2 History
- 3 See also
- 4 References
- 5 External links
Cause and presentation
This lesion is usually unilateral and affects several structures in the midbrain including:
| Structure damaged |
Effect |
| substantia nigra |
contralateral parkinsonism because its dopaminergic projections to the basal ganglia innervate the ipsilateral hemisphere motor field, leading to a movement disorder of the contralateral body. |
| corticospinal fibers |
contralateral hemiparesis and typical upper motor neuron findings. It is contralateral because it occurs before the decussation in the medulla. |
| corticobulbar tract |
difficulty with contralateral lower facial muscles and hypoglossal nerve functions |
| oculomotor nerve fibers |
ipsilateral oculomotor nerve palsy with a drooping eyelid and fixed wide pupil pointed down and out. This leads to diplopia |
Human brainstem blood supply description. Posterior cerebral artery is #6, and midbrain is behind it.
It is caused by midbrain infarction as a result of occlusion of the paramedian branches of the posterior cerebral artery or of basilar bifurcation perforating arteries.[1]
History
It carries the name of Sir Hermann David Weber, a German-born physician working in London, who described the condition in 1863.[2][3] It is unrelated to Sturge-Weber syndrome, Klippel-Trenaunay-Weber syndrome or Osler-Weber-Rendu syndrome.
See also
- Alternating hemiplegia of childhood
- Lateral medullary syndrome
- Lateral pontine syndrome
- Medial medullary syndrome
- Medial pontine syndrome
References
- ^ Weber's syndrome at GPnotebook
- ^ Weber HD (1863). "A contribution to the pathology of the crura cerebri". Medico-Chirurgical Transactions 46: 121–139.
- ^ Weber's syndrome at Who Named It?
External links
- http://medinfo.ufl.edu/year2/neuro/review/bsc.html
- http://www.neuropat.dote.hu/table/kereszt7.htm
|
Cerebrovascular diseases (G45–G46 and I60–I69, 430–438)
|
|
Brain ischemia/
cerebral infarction
(ischemic stroke/TIA) |
| TACI, PACI |
- precerebral: Carotid artery stenosis
- cerebral: MCA
- ACA
- Amaurosis fugax
|
|
| POCI |
- precerebral: Anterior spinal artery syndrome
- Vertebrobasilar insufficiency
- Subclavian steal syndrome
- brainstem: medulla
- Medial medullary syndrome
- Lateral medullary syndrome
- pons
- Medial pontine syndrome/Foville's
- Lateral pontine syndrome/Millard-Gubler
- midbrain
- Weber's
- Benedikt
- Claude's
- cerebral: PCA
- Lacunar stroke
- Dejerine–Roussy syndrome
|
|
| General |
- cerebral: Cerebral venous sinus thrombosis
- CADASIL
- Binswanger's disease
- Transient global amnesia
|
|
|
Intracranial hemorrhage
(hemorrhagic stroke) |
| Extra-axial |
- Epidural
- Subdural
- Subarachnoid
|
|
| Cerebral/Intra-axial |
|
|
| Brainstem |
|
|
|
| Aneurysm |
- Cerebral aneurysm
- Intracranial berry aneurysm
- Charcot-Bouchard aneurysm
|
|
| Other/general |
|
|
|
Index of the central nervous system
|
|
| Description |
- Anatomy
- meninges
- cortex
- association fibers
- commissural fibers
- lateral ventricles
- basal ganglia
- diencephalon
- mesencephalon
- pons
- cerebellum
- medulla
- spinal cord
- Physiology
- Development
|
|
| Disease |
- Cerebral palsy
- Meningitis
- Demyelinating diseases
- Seizures and epilepsy
- Headache
- Stroke
- Sleep
- Congenital
- Injury
- Neoplasms and cancer
- Other
- Symptoms and signs
- head and neck
- eponymous
- lesions
- Tests
|
|
| Treatment |
- Procedures
- Drugs
- general anesthetics
- analgesics
- addiction
- epilepsy
- cholinergics
- migraine
- Parkinson's
- vertigo
- other
|
|
Index of the circulatory system
|
|
| Description |
- Anatomy
- Arteries
- head and neck
- arms
- chest
- abdomen
- legs
- Veins
- head and neck
- arms
- chest
- abdomen and pelvis
- legs
- Development
- Cells
- Physiology
|
|
| Disease |
- Congenital
- Neoplasms and cancer
- Lymphatic vessels
- Injury
- Vasculitis
- Other
- Symptoms and signs
|
|
| Treatment |
- Procedures
- Drugs
- beta blockers
- channel blockers
- diuretics
- nonsympatholytic vasodilatory antihypertensives
- peripheral vasodilators
- renin–angiotensin system
- sympatholytic antihypertensives
- vasoprotectives
|
|
|
|
Lesions of spinal cord and brain
|
|
Spinal cord/
vascular myelopathy |
- sensory: Sensory ataxia
- Tabes dorsalis
- motor: Motor neurone disease
- mixed: Brown-Séquard syndrome
- cord syndrome (Posterior
- Anterior
- Central/Syringomyelia)
- Subacute combined degeneration of spinal cord (B12)
- Cauda equina syndrome
- Anterior spinal artery syndrome
|
|
| Brainstem |
| Medulla (CN 8, 9, 10, 12) |
- Lateral medullary syndrome/Wallenberg
- Medial medullary syndrome/Dejerine
|
|
| Pons (CN 5, 6, 7, 8) |
- Upper dorsal pontine syndrome/Raymond Céstan syndrome
- Lateral pontine syndrome (AICA) (lateral)
- Medial pontine syndrome/Millard-Gubler syndrome/Foville's syndrome(basilar)
- Locked-in syndrome
- Internuclear ophthalmoplegia
- One and a half syndrome
|
|
| Midbrain (CN 3, 4) |
- Weber's syndrome
- Benedikt syndrome
- Parinaud's syndrome
- Nothnagel's syndrome
- Claude's syndrome
|
|
| Other |
|
|
|
| Cerebellum |
- lateral (Dysmetria
- Dysdiadochokinesia
- Intention tremor)
- medial (Cerebellar ataxia)
|
|
| Basal ganglia |
- Chorea
- Dystonia
- Parkinson's disease
|
|
| Cortex |
- ACA syndrome
- MCA syndrome
- PCA syndrome
- frontal lobe: Expressive aphasia
- Abulia
- parietal lobe: Receptive aphasia
- Hemispatial neglect
- Gerstmann syndrome
- Astereognosis
- occipital lobe: Bálint's syndrome
- Cortical blindness
- Pure alexia
- temporal lobe: Cortical deafness
- Prosopagnosia
|
|
| Thalamus |
|
|
| Other |
- Subclavian steal syndrome
- Upper motor neurone lesion (Clasp-knife response)
- Lower motor neurone lesion
|
|
|
Index of the central nervous system
|
|
| Description |
- Anatomy
- meninges
- cortex
- association fibers
- commissural fibers
- lateral ventricles
- basal ganglia
- diencephalon
- mesencephalon
- pons
- cerebellum
- medulla
- spinal cord
- Physiology
- Development
|
|
| Disease |
- Cerebral palsy
- Meningitis
- Demyelinating diseases
- Seizures and epilepsy
- Headache
- Stroke
- Sleep
- Congenital
- Injury
- Neoplasms and cancer
- Other
- Symptoms and signs
- head and neck
- eponymous
- lesions
- Tests
|
|
| Treatment |
- Procedures
- Drugs
- general anesthetics
- analgesics
- addiction
- epilepsy
- cholinergics
- migraine
- Parkinson's
- vertigo
- other
|
|
|
UpToDate Contents
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English Journal
- [Clinical Observation on Therapeutic Effect of Red-hot Needle Therapy for Spastic Hemiplegia in Stroke Patients].
- Wang N, Li ZF, Wu HH.
- Zhen ci yan jiu = Acupuncture research / [Zhongguo yi xue ke xue yuan Yi xue qing bao yan jiu suo bian ji].Zhen Ci Yan Jiu.2015 Aug;40(4):304-8.
- OBJECTIVE: To observe the curative effect of fire needle treatment on spastic hemiplegia in patients with stroke.METHODS: A total of 80 stroke patients with spastic hemiplegia who met the inclusion criteria were randomly divided into routine acupuncture (control) group and red-hot needle group (n =
- PMID 26502545
- Determinants of Concurrent Motor and Language Recovery during Intensive Therapy in Chronic Stroke Patients: Four Single-Case Studies.
- Primaßin A1, Scholtes N2, Heim S3, Huber W2, Neuschäfer M4, Binkofski F5, Werner CJ6.
- Frontiers in neurology.Front Neurol.2015 Oct 9;6:215. doi: 10.3389/fneur.2015.00215. eCollection 2015.
- Despite intensive research on mechanisms of recovery of function after stroke, surprisingly little is known about determinants of concurrent recovery of language and motor functions in single patients. The alternative hypotheses are that the two functions might either "fight for resources" or use th
- PMID 26500606
- Clinical profile and outcome of cerebral venous sinus thrombosis at tertiary care center.
- Patil VC1, Choraria K1, Desai N1, Agrawal S1.
- Journal of neurosciences in rural practice.J Neurosci Rural Pract.2014 Jul;5(3):218-24. doi: 10.4103/0976-3147.133559.
- BACKGROUND: Thrombosis of the cerebral venous sinuses (CVST) is an uncommon form of stroke, usually affecting young individuals. Clinical features of CVST are diverse, and for this reason, high degree of clinical suspect is mandatory to diagnose the conditions.MATERIALS AND METHODS: This study was c
- PMID 25002759
Related Links
- Alternating Hemiplegia information including symptoms, diagnosis, misdiagnosis, treatment, causes, patient stories, videos, forums, prevention, and prognosis. ... Alternating Hemiplegia: Introduction Alternating Hemiplegia: ...
- Midbrain Lesions ( Return to Lesions Front Page) 1. VASCULAR LESIONS - SUPERIOR ALTERNATING HEMIPLEGIA (WEBER'S SYNDROME) A Sample Case: A 55 year old woman had abdominal surgery 2 weeks before ...
★リンクテーブル★
[★]
- 英
- Weber's syndrome, Weber syndrome
- 同
- (国試)Weber症候群、上交代性片麻痺 superior alternating hemiplegia hemiplegia alternans superior、大脳脚症候群
- 関
- 脳幹梗塞、Weber症候群、脳幹卒中、上交代性片麻痺、ウェーバー麻痺
[★]
- 関
- dominance、dominant、dominantly、epi、epistasis、epistatic、excellent、good、predominately、senior、superio、superiorly、supra
[★]
片麻痺 =hemi + plegia
- 関
- haemiparesis、haemiplegia、haemiplegic、hemiparesis、hemiplegic、infantile hemiplegia、monoplegia、spastic hemiplegia、transient hemiplegia
[★]
- 関
- epi、epistasis、epistatic、senior、superior、supra
[★]
- 関
- alternate