《共济失调诊断和鉴别诊断》.ppt

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; Lobs;Internal structures ;Internal structures;Three functional divisions;小脑;MLF;Main Connections of the 古小脑;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;dsfdbsy384y982ythb3oibt4oy39y409705923y09y53b2lkboi2y58wy0ehtoibwoify98wy049ywh4b3oiut89u983yf9ivh98y98sv98hv98ys9f698y9v698yv98x98tb98fyd98gyd98h98ds98nt98d8genklgb4klebtlkb5k tkeirh893y89ey698vhkrne lkhgi8eyokbnkdhf98hodf hxvy78fd678t9fdu90gys98y9shihixyv78dfhvifndovhf9f8yv9onvkobkw kjfegiudsfdbsy384y982ythb3oibt4oy39y409705923y09y53b2lkboi2y58wy0ehtoibwoify98wy049ywh4b3oiut89u983yf9ivh98y98sv98hv98ys9f698y9v698yv98x98tb98fyd98gyd98h98ds98nt98d8genklgb4klebtlkb5k tkeirh893y89ey698vhkrne lkhgi8eyokbnkdhf98hodf hxvy78fd678t9fdu90gys98y9shihixyv78dfhvifndovhf9f8yv9onvkobkw kjfegiu dsfdbsy384y982ythb3oibt4oy39y409705923y09y53b2lkboi2y58wy0ehtoibwoify98wy049ywh4b3oiut89u983yf9ivh98y98sv98hv98ys9f698y9v698yv98x98tb98fyd98gyd98h98ds98nt98d8gen;56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm56384866666gjfdghmghm;￥1111111111111111111111111111111222222222222222222222