不同年龄急性偏瘫患儿伴随症状与病因的相关性研究

目的：探讨急性偏瘫患儿的年龄、伴随症状与病因的相关性。方法选取2004‐01—2014‐01本院诊治的急性偏瘫患儿68例,依据年龄分成4组,＞6～14岁21例为对照组,＞3～6岁9例为观察A组,＞1～3岁27例为观察B组,4个月～1岁11例为观察C组,分析患儿年龄、伴随症状和病因的关系。结果观察C组中枢神经系统感染率较其他3组高,对照组先天性代谢缺陷病率较其他3组高,观察A、B组脑血管疾病率明显高于其他2组,差异均有统计学意义（P＜0.05）;影像学检查在诊断急性偏瘫病因上具有显著优势,急性偏瘫患儿伴随症状的首要病因为中枢神经系统感染,脑血管疾病次之。结论1岁以下患儿发病的危险因素是中枢神经系统感染,2～6岁是脑血管疾病,6岁以上是先天性代谢缺陷病。     

儿童急性偏瘫40例病因分析

儿童急性偏瘫是一组由多种疾病引起的以一侧肢体活动障碍为主要特征的临床综合征。现将我院 2 0 0 4年期间收治的 40例分析如下 :1　临床资料1 1　一般资料　男 2 9例 ,女 11例 ;年龄 <3月 5例 ,～ 5岁 7例 ,～ 7岁 8例 ,～ 9岁 2 0例。秋季发病 2 0例 ,冬季发病 13例 ,春季发病 5例 ,夏季发病 2例。来自农村 3 6例。1 2　临床表现　左侧偏瘫 18例 ,右侧偏瘫 2 2例。发热 16例 ,惊厥 17例 ,昏迷 5例 ,头痛呕吐 13例 ,中枢性面瘫 10例 ,吞咽困难 5例 ,患侧肌张力增高 2 8例 ,双侧巴宾斯基征阳性 12例 ,脑膜刺激征阳性 2 1例 ,并发肺炎 3例 ,…     

儿童急性偏瘫40例病因分析

儿童急性偏瘫是一组由多种疾病引起的以一侧肢体活动障碍为主要特征的临床综合征。现将我院2004年期间收治的40例分析如下：     

小儿急性偏瘫54例临床分析

小儿急性偏瘫是多种病因所致的一种综合征,非独立性疾病。本病在儿科比较常见,往往遗留不同程度的后遗症。我院自1984年1月至1991年6月收治了54例急性偏瘫患儿,其中42例进行了头部 CT 检查。本文将临床资料分析报道如下。临床资料一、一般资料:年龄为9个月～2岁10例,～5岁7例,～10岁21例,～14岁16例。男30例,女24例。农村41例,城市13例。发病至就诊时间:1～3天25例占64.     

小儿急性偏瘫综合征20例诊治分析

目的探讨小儿急性偏瘫综合征（acute hemiplegia syndrome，AHS）的病因及诊琏斤、治疗。方法对20例AHS患儿的临床资料、实验室检查及治疗进行分析。结果20例患儿中颅脑外伤与非特异性脑血管缺血性病变为主要病因，婴幼儿发病率高，磁共振成像（MRI）是AHS的重要诊断技术，及早给予抗凝、扩血管、改善微循环等综合治疗，预后良好。结论MRI是AHS的重要诊断方法，早期扩血管、抗凝等综合治疗对AHS有明显疗效。     

中风后偏瘫侧肺炎20例病因分析

中风后偏瘫侧肺炎２０例病因分析马振亮李克波王保林我们统计分析了中风住院病人１２３２例，共查出诊断有肺炎者１０６例，而经Ｘ线检查证实者５４例，其中发生偏瘫侧肺炎２０例，双侧肺炎２３例，非偏瘫侧１１例，现就偏瘫侧肺炎２０例进行病因探讨。１临床资料１．１一...     

急性脑卒中偏瘫患者早期康复介入与并发症的关系

<正>我院于2012-07—2014-06将早期康复介入应用于急性脑卒中偏瘫患者效果显著,现报告如下。1资料与方法1.1一般资料选择2012-07—2014-06在我院接受治疗的急性脑卒中患者88例,男39例,女49例;年龄44~68岁,平均(48.52±2.5)岁。其中脑梗死32例,右侧瘫痪30例,左侧瘫痪26例。纳入标准:首发脑出血与脑梗死患者;存在躯     

青年卒中的危险因素及病因学调查分析

目的 调查青年卒中患者各危险因素及影像学检查情况,探讨青年卒中住院患者的危险因素及病因学特点。方法 回顾性收集首都医科大学附属北京安贞医院神经内科2002年1月至2010年12月期间连续登记住院的青年卒中（18～44岁）患者的病历资料入组274例,并分层随机抽取同期住院的中老年卒中（45岁及以上）患者入组300例,分析其众多危险因素及病因学构成特点。结果 ①青年卒中组中,缺血性卒中229例（83.58%）,男性211例（77.01%）;年龄在40～44岁的患者160例（58.39%）;②青年卒中组,合并高血压179例（65.33%）、吸烟162例（59.12%）、饮酒123例（44.89%）、高同型半胱氨酸血症100例（39.84%）、肥胖86例（31.39%）,与中老年卒中组对比,差异有显著性（P＜0.05）;合并高脂血症156例（56.93%）,两组间差异无显著性（P＞0.05）;③缺血性卒中经TOAST（Trial of Org 10 172 in Acute Stroke Treatment）病因学分型,青年组大动脉粥样硬化性卒中100例（44.25%）和小动脉闭塞性卒中66例（29.20%）,与中老年组对比,差异有显著性（P＜0.05）;④青年组颅内外血管情况优于中老年组,主要动脉无异常的患者比率（26.55%）高于中老年组（15.79%）,轻、中度和重度狭窄率（46.02%和7.96%）低于中老年组（50.20%和17.81%）,两组间差异有显著性（P＜0.05）。结论 ①青年卒中以缺血性卒中、男性为主,其中40～44岁的患者占1/2以上;②青年卒中主要的危险因素依次是高血压、吸烟、高脂血症、饮酒、高同型半胱氨酸血症、肥胖,其中高血压、吸烟、高脂血症、高同型半胱氨酸血症的百分率随年份的增长有逐渐增高趋势;③青年缺血性卒中主要的病因是大动脉粥样硬化性卒中、小动脉闭塞性卒中,其他病因多样化;④青年卒中患者的颅内外血管情况优于中老年卒中患者。     

隐源性卒中病因学最新研究进展

隐源性卒中是指尚未明确病因的缺血性卒中 , 随着医学技术的发展, 越来越多引起隐源性 卒中的病因被发现, 如反常栓塞、 主动脉粥样硬化、 脑动脉夹层、 高同型半胱氨酸血症、 阻塞性睡眠 呼吸暂停低通气综合征、 偏头痛、 遗传性单基因病等。 本文就隐源性卒中病因学最新进展做一综述, 以增进临床医师对其了解, 以便早发现、 尽早进行防治, 以降低卒中发病率。     

国内外青年缺血性卒中危险因素及病因研究

目前国内外学者已对青年缺血性卒中危险因素及病因进行了广泛研究,本文拟对可干预和不可干预的危险因素,以及动脉粥样硬化、非动脉粥样硬化性血管病、心源性栓塞、凝血系统疾病、单基因遗传性脑血管等病因进行文献复习及综述,旨在青年缺血性卒中的危险因素及病因深入探究提供新的线索。     

Etiology of Seizures in the Elderly

Our study covered a 5-year period, and included all patients within a well-defined area who developed seizures after age 60 years. The dominant cause of seizures was a previous stroke, accounting for 32% of all cases. Tumors accounted for 14%, and the cause of seizures remained unknown in 25%. Seizures were recurrent in greater than 80% of patients with first seizure greater than 6 months after stroke. Fifteen of 21 patients with tumors had metastatic tumors. Of the six patients with primary brain tumors, five had malignant gliomas and one had a meningioma. We conclude that epilepsy with onset after age 60 years is more often symptomatic than is epilepsy in younger patients; since seizures were the first sign of a central nervous system (CNS) disease in half of the patients with brain tumors, careful investigation is necessary to reach a correct diagnosis.     

Systematic Review on Effectiveness of shoulder taping in Hemiplegia

BackgroundShoulder pain and subluxation are the commonly encountered problems among subjects with hemiplegia. Rehabilitating the shoulder following stroke is a challenging task among physiotherapists in rehabilitation set up. There is a need to validate the effectiveness of externally applied taping materials in hemiplegic shoulder.ObjectiveThis systematic review analyses the efficacy of taping on hemiplegic shoulder in terms of alleviating pain and managing subluxation.MethodsSystematic review of randomized controlled trials (RCTs) was conducted to determine the effects of taping on hemiplegic shoulder. Articles were electronically searched from the year 2000 to 2017 in the 4 databases, Google scholar, CINAHL, Pubmed, and Pedro. Reviewers graded the papers according to Lloyd-Smith's hierarchy of evidence scale. Papers were quality appraised using a systematic review of RCT tool developed by National Heart, Lung and Blood Institute (United States), named as quality assessment of controlled intervention studies tool.ResultsEight papers were included, totaling 132 participants. All the RCT's included in this review were good quality. There was a significant effect on taping method for reduction of pain and subluxation among subjects with stroke.ConclusionsThis systematic review provides sufficient evidence to suggest taping is a beneficial method for reducing pain and shoulder subluxation among stroke subjects.     

Etiology and prognosis in hydrocephalus

In a retrospective study, 219 hydrocephalic patients from the preshunt era were identified. Mortality and working ability in survivors 21–35 years old were examined in different etiological groups. In one-third, no etiological factor was known or suspected. Of the remaining patients, 30% had more than one possible etiological factor. Patients with verified infection or trauma had a higher mortality than patients with suspected infection or trauma. However, survivors with suspected trauma and infection did not fare any better than survivors with verified trauma or infection. An etiology of hydrocephalus offers little help when evaluating prognosis in an individual patient. The reasons for this may be that the classifications are ambiguous, the groups too heterogenous, or that the etiology of hydrocephalus is not relevant, since it is sign and not a disease entity.     

非高血压脑出血病因学研究进展

在非高血压性ICH病因中,脑血管结构病变如脑AVMs、海绵状血管瘤、rete MCA等可能通过病变局部血管结构及血流动力学的变化导致患者ICH风险增加;抗凝药和溶栓药物的应用可能通过改变患者血液凝结状态导致ICH;目前还发现抗抑郁药物等其他药物也有潜在导致患者ICH发生的风险,其机制尚不明确。研究还发现,一些全身性因素如血糖异常、肝功能异常,甚至儿童时期的生长暴露也可能影响患者的ICH风险。