| 脉络膜前动脉区梗死的临床分析 |
| |
| 引用本文： | 张慧,王得新,李继梅. 脉络膜前动脉区梗死的临床分析[J]. 中风与神经疾病杂志, 2007, 24(1): 86-88 |
| |
| 作者姓名： | 张慧 王得新 李继梅 |
| |
| 作者单位： | 首都医科大学附属北京友谊医院神经内科,北京,100050 |
| |
| 摘 要： | 目的探讨脉络膜前动脉区梗死的病因、临床特点。方法回顾性分析了22例CT证实的脉络膜前动脉梗死，针对病因进行CT、MRI、CTA及超声心动等检查，并对临床特点进行分析。结果22例患者中，未发现1例具有“三偏”症状，偏侧无力是最常见的症状。16例以TIA为前驱症状，尤其是上升型TIA。长期高血压、吸烟导致的小动脉病变是此类梗死的常见原因。结论脉络膜前动脉区梗死临床表现多样，典型的三偏症状少见，熟悉其临床特点，同时结合影像学检查是获得准确诊断的关键。
|
| 关 键 词： | 脉络膜前动脉 梗死 短暂性脑缺血发作 |
| 文章编号： | 1003-2754(2007)01-0086-03 |
| 修稿时间： | 2006-04-12 |
Clinical analysis of anterior choroidal artery territory infarction |
| |
| ZHANG Hui,WANG De-xin,LI Ji-mei. Clinical analysis of anterior choroidal artery territory infarction[J]. Journal of Apoplexy and Nervous Diseases, 2007, 24(1): 86-88 |
| |
| Authors: | ZHANG Hui WANG De-xin LI Ji-mei |
| |
| Affiliation: | Department of Neurology, Affiliated Beijing Friendship Hospital, Capital University of Medical Sciences, Beijing 100050 ,China |
| |
| Abstract: | Objective To investigate the causes,clinical characteristics of the anterior choroidal artery (AChA)territory infarction.Methods 22 Patients with infarction in the AChA territory were retrospectively e- valuated by CT,MRI,CTA and echocardiography to identify the causes of the infarction.The clinical characteris- tics were analyzed.Results In all 22 patients,none had trihemiparalysis sign,while hemiparalysis was the most common symptom.16 patients had a prodrome of TIA,especially crescendo TIA.The cause factor of infarction was small-vessel disease caused by hypertension and smoking.Conclusion Infarction in AChA territory has vari- ous manifestation and lack characteristic trihemiparalysis sign.Clinical and imaging characteristics may be helpful to diagnosis. |
| |
| Keywords: | Anterior choroidal artery Infarction Transient ischemie attacks |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
