脑桥腔隙性梗死的影像学与临床特征

目的对脑桥腔隙性梗死患者进行影像学和临床特征的比较分析。方法根据临床特征将91例脑桥腔梗患者分成4组,进行影像学和临床特征的分析。结果脑桥是脑干梗死最常见部位,脑桥梗死又以腔隙性梗死为最多,这和解剖学密切相关。临床上脑桥腔隙性梗死并不少见,但受到检测手段的限制而易被忽视。结论脑桥腔隙性梗死在临床上可见到无症状和无定位体征及出现头痛症状的患者,要正确地评估病情,积极进行治疗,采取个体化原则,防止病情加重。

Imaging and clinic feature of pontine lacunar infarction

Objective To analyze the imaging and clinic feature of pontine lacunar infarction.Methods Ninty-nine patients with pontine infarction were divided into 4 groups according to their clinic features,comparing with their imaging.Results Pontine was the most common site of brainstem infarction,and lacunar infarction accounted for the largest proportion of pontine infarction,which was closely related to aqatomy.Pontine lacunar infarction was common in clinic,but it had the limitation of detection means.Conclusion We can not ignore the patients of asymptomatic and non-targeted signs,also the patients with headache in particular of the pontine lacunar patients.It is necessary to assess the condition correctly,with active treatment and to take the principle of individual in order to prevent the condition becoming heavier.