中线旁双侧丘脑梗死综合征10例临床分析

目的 :探讨中线旁双侧丘脑梗死综合征的临床表现、影像学改变、诊断及预后。方法 :对 1 0例中线旁双侧丘脑梗死综合征患者的临床表现、病因、CT/MRI以及预后进行综合分析。结果 :中线旁双侧丘脑梗死综合征主要临床特征为多数急性起病 ,有不同程度意识障碍 ,Korsakoff遗忘综合征 ,垂直性眼球运动障碍 ,预后差。结论 :中线旁双侧丘脑梗死综合征是一种罕见的昏迷综合征 ,诊断主要依据 CT或 MRI,DSA检查对于病因诊断有重要价值。

Clinical study on bilateral thalamus infarction near median line in 10 subjects

Objective:To study the clinical characteristics, findings of CT/MRI and diagnosis of bilateral thalamus infarction near median line. Methods:The clinical data of 10 patients were analyzed together with clinical characteristics, pathogenesis, CT/MRI findings and prognosis. Results:The clinical characteristics of bilateral thalamus infarction near median line were most patients experienced acute, different level of conscious disorders, Korsakoff syndrome, upward gaze limitation. The patients had poor prognosis. Conclusion:Bilateral thalamus infarction near median line is uncommon in clinic. The diagnosis was based on computed tomography(CT) or magnetic resonance imaging (MRI) findings. Superselective digital subtraction angiography (DSA) is the best method for the bilateral thalamus infarction near median line.