胼胝体脑梗死53例临床分析

目的探讨胼胝体脑梗死患者的临床特点和MRI分布。方法回顾性分析笔者医院53例胼胝体脑梗死患者的临床资料。结果胼胝体脑梗死临床表现复杂多样,以瘫痪、精神智能障碍以及失用较多见,胼胝体离断综合征是其特征性表现,经常合并其他部位病灶的症状,其病灶以胼胝体膝部及体部多见,胼胝体脑梗死诊断主要依靠MRI。结论胼胝体脑梗死临床表现复杂,MRI能发现梗死的部位,预后相对较好。

Clinical Analysis of 53 Patients with Corpus Callosal Infarction

ObjectiveTo explore the clinical characteristics, MRI distribution in corpus callosal infarction. MethodsThe clinical data of 53 cases with corpus callosal infarction were analyzed retrospectively.ResultsThe clinical manifestations of corpus callosal infarction was complex and varied. Hemiplegia, mental retardation and apraxia were common.The classical clinical manifestation was callosal disconnection syndrome. It was often associated with the symptoms of other lesion sites. The main sites of infarction were genu and body. The diagnosis of corpus callosum infarction mainly relied on MRI. ConclusionThe clinical manifestations of corpus callosal infarction is complex. MRI can find the sites of infarction.The prognosis is good.