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[丘脑的血管综合征]

[Vascular syndromes of the thalamus].

作者信息

Nolte C H, Endres M, Jungehülsing G J

机构信息

Klinik für Neurologie, Charité-Universitätsmedizin Berlin, Campus Benjamin Franklin und Centrum für Schlaganfallforschung Berlin (CSB), Berlin, Deutschland.

出版信息

Nervenarzt. 2011 Feb;82(2):231-41. doi: 10.1007/s00115-010-3197-z.

DOI:10.1007/s00115-010-3197-z
PMID:21165588
Abstract

The thalamus comprises numerous nuclei that can be grouped into five major functional domains: (1) the reticular and intralaminar nuclei influence arousal and nociception, (2) sensory nuclei handle afferent pathways, (3) the effector nuclei are involved in motor function and language, (4) associative nuclei participate in higher cognitive functions and (5) limbic nuclei influence mood and motivation. The thalamic nuclei are mainly supplied by the following four cerebral arteries: paramedian artery, anterior thalamoperforating artery, thalamogeniculate artery and posterior choroidal artery (lateral branches). Occlusions of these arteries affect the thalamic nuclei to varying degrees and produce partly characteristic and partly overlapping deficits. This article describes the clinical pictures.

摘要

丘脑由众多核团组成,这些核团可分为五个主要功能域:(1)网状核和板内核影响觉醒和痛觉感受;(2)感觉核处理传入通路;(3)效应核参与运动功能和语言;(4)联合核参与更高的认知功能;(5)边缘核影响情绪和动机。丘脑核主要由以下四条脑动脉供血:旁正中动脉、丘脑前穿动脉、丘脑膝状体动脉和脉络膜后动脉(外侧支)。这些动脉的闭塞会不同程度地影响丘脑核,并产生部分特征性和部分重叠性的缺陷。本文描述了这些临床表现。

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本文引用的文献

1
The thalamus and behavior: effects of anatomically distinct strokes.丘脑与行为:解剖学上不同部位中风的影响
Neurology. 2006 Jun 27;66(12):1817-23. doi: 10.1212/01.wnl.0000219679.95223.4c.
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The syndrome of combined polar and paramedian thalamic infarction.丘脑极部和旁正中联合梗死综合征
Arch Neurol. 2005 Aug;62(8):1212-6. doi: 10.1001/archneur.62.8.1212.
3
Anteromedian, central, and posterolateral infarcts of the thalamus: three variant types.丘脑的前内侧、中央和后外侧梗死:三种变异类型。
丘脑性失语:综述。
Curr Neurol Neurosci Rep. 2022 Dec;22(12):855-865. doi: 10.1007/s11910-022-01242-2. Epub 2022 Nov 16.
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Frequency, clinical presentation and outcome of vigilance impairment in patients with uni- and bilateral ischemic infarction of the paramedian thalamus.单侧和双侧丘脑旁正中梗死患者警觉障碍的频率、临床表现和结局。
J Neurol. 2021 Nov;268(11):4340-4348. doi: 10.1007/s00415-021-10565-y. Epub 2021 Apr 21.
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Functional roles of the thalamus for language capacities.丘脑在语言能力方面的功能作用。
Front Syst Neurosci. 2013 Jul 16;7:32. doi: 10.3389/fnsys.2013.00032. eCollection 2013.
Stroke. 2004 Dec;35(12):2826-31. doi: 10.1161/01.STR.0000147039.49252.2f. Epub 2004 Oct 28.
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Vascular syndromes of the thalamus.丘脑的血管综合征
Stroke. 2003 Sep;34(9):2264-78. doi: 10.1161/01.STR.0000087786.38997.9E. Epub 2003 Aug 21.
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Eyelid tremor in a patient with a unilateral paramedian thalamic lesion.一名单侧丘脑旁正中病变患者的眼睑震颤。
J Neurol Neurosurg Psychiatry. 2003 Mar;74(3):356-8. doi: 10.1136/jnnp.74.3.356.
7
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Ann Neurol. 2000 Aug;48(2):220-7.
8
Loss of psychic self-activation after paramedian bithalamic infarction.
Stroke. 2000 Jul;31(7):1762-5. doi: 10.1161/01.str.31.7.1762.
9
Pain after thalamic stroke: right diencephalic predominance and clinical features in 180 patients.丘脑卒中后的疼痛:180例患者右侧间脑优势及临床特征
Neurology. 1997 May;48(5):1196-9. doi: 10.1212/wnl.48.5.1196.
10
The syndrome of posterior choroidal artery territory infarction.脉络膜后动脉供血区梗死综合征
Ann Neurol. 1996 Jun;39(6):779-88. doi: 10.1002/ana.410390614.