Nishida N, Ogata J, Yutani C, Minematsu K, Yamaguchi T
Department of Pathology, National Cardiovascular Center, Osaka, Japan.
Cerebrovasc Dis. 2000 Mar-Apr;10(2):151-4. doi: 10.1159/000016045.
Striatocapsular infarction is a distinct form of stroke, but few histopathological studies have been performed concerning acute lesions. We report the postmortem findings of a patient with an infarct who died shortly after onset. A 72-year-old man died of acute myocardial infarction 6 days after the onset of left-sided striatocapsular infarction. Autopsy revealed thrombus formation of the left middle cerebral artery (MCA) trunk. The lateral striate arteries irrigating the area of the infarct branched off distal to the arterial segment occluded with a thrombus. The cortical vessels were perfused by leptomeningeal collaterals. This report histopathologically confirmed thrombus formation of the MCA resulting in striatocapsular infarction.
壳核纹状体梗死是一种独特的中风形式，但针对急性病变的组织病理学研究较少。我们报告了一名发病后不久死亡的梗死患者的尸检结果。一名72岁男性在左侧壳核纹状体梗死发病6天后死于急性心肌梗死。尸检显示左大脑中动脉主干有血栓形成。灌注梗死区域的外侧纹状动脉在被血栓阻塞的动脉段远端分支。皮质血管由软脑膜侧支循环灌注。本报告通过组织病理学证实大脑中动脉血栓形成导致壳核纹状体梗死。
