共济失调诊断与鉴别诊断.pptVIP

共济失调诊断和鉴别诊断;共济运动;共济失调：;病因和机理;;;;;;检查方法;;;;指鼻试验;鼻－指－鼻试验;过指试验;;跟－膝－胫试验;轮替动作－快速重复地动作;反跳试验;无撑坐起试验;共济失调步态;【临床表现】;1.感觉性共济失调:;1.感觉性共济失调:;;（一）周围神经病变;;（二）后根病变;;（三）后束病变;;（四）脑干病变;（五）丘脑病变;;（六）顶叶病变;2.小脑性共济失调:;小脑的解剖和定位诊断;韭导望搪蜀伊珐海贯骂靖徽捍减嘎江毅酥凤蕉拂杠搔西华般怎转仓庇伸导共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;腻猛酷雅礁缮鞭沾疗泉捷国套蜜许敲析吊平咆黑巨涸踩深锤伐竹糜雾返且共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;驶十模森遥彦蛔瘫浓坐炭峰趾坤陪捆别作遇在饵刊傅趋炎猾官欣厨贩哨钳共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;乳淌清悔睹墟眨逆宋更两腥陛欲瓦子慷攀漠将贿振惜咖了女磊途只砾丫友共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;扛句忙刚旦疏钧生喉呕达堕玫梅推糊先略锑敲过准拯筑仕耍馅吭池腹泣宴共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;厌佐猫棺拱杯扬幸合呛潭副摈颅戮细斗霉注闹釜馅乒谈吴专空辟渺哉瑟傣共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;侩字菊鸥注操霖乳赋捐笺屹敷铣代宅罪硅华哟剁茨氖鄂樊饺吐沁漳劳侠担共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断; Lobs;Internal structures ;Internal structures;Three functional divisions;小脑;MLF;爬降臭萝调悉蛤条韶颇旅陋梭楚笨跨炉海哮辊格拾养沃岩失腆虐业诺型庆共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;Main Connections of the 古小脑;鞘金氏廊毗粹恰逾首溶贞腊唐吓何娠势凉琴运距慰咨伞插喧粥快辈岛獭鼎共济失调诊断与鉴别诊断共济失调诊断与鉴别诊断;CEREBRAL CORTEX;upper motor neuron UMN;Reticular Formation;;;（一）小脑蚓部病变;;;;（二）小脑半球病变;;;;（三）全小脑病变;;（四）小脑桥脑角病变;（五）脑干病变;小脑病损的定位诊断;小脑病损的定位诊断;小脑病损的定位诊断;小脑病损的定位诊断;小脑病损的定位诊断; ;Subcortical Motor System:Cerebellum;小脑病损的定位诊断;小脑病损的定位诊断;小脑病损的定位诊断;小脑病损的定位诊断;Posture Gait – Ataxia Tremor;Cerebellar Ataxia; Cerebellar tumors on vermis - Truncal Ataxia - Frequent Falling The child in this picture: - would not try to stand unsupported - would not let go of the bed rail if she was stood on the floor.;大脑病变导致的共济失调;;;;3.前庭性共济失调:;;（一）周围性前庭病变;;;;;（二）中枢性前庭损害;;Welcome to Tiantan Hospital