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[高血压脑病患者的锥体外系综合征]

[Extrapyramidal syndrome in patients with hypertensive encephalopathy].

作者信息

Lebedeva N V, Olziĭbaiar D

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(7):44-6.

PMID:2175089
Abstract

Sixty patients with associated discirculatory encephalopathy of hypertonic genesis and the extrapyramidal syndrome were examined. In order to compare the clinical manifestations with localization of foci of lesions, 51 patients underwent computer-aided brain tomography. The intensity of the extrapyramidal syndrome associated with has not been established to attain that in idiopathic parkinsonism. In patients with discirculatory encephalopathy, the extrapyramidal syndrome may be coupled with other symptoms pointing to diffuse impairment of the brain. In 49 cases out of 51 (81.6%), the computer-aided tomograms demonstrated different pathological alterations of the brain characteristic of chronic hypertonic encephalopathy, with those alterations primarily seen in the area of basal ganglia.

摘要

对60例伴有高血压性血液循环障碍性脑病及锥体外系综合征的患者进行了检查。为了将临床表现与病变灶定位进行比较,51例患者接受了计算机辅助脑断层扫描。与特发性帕金森病相比,高血压性血液循环障碍性脑病相关的锥体外系综合征的严重程度尚未明确。在血液循环障碍性脑病患者中,锥体外系综合征可能与其他提示大脑弥漫性损害的症状同时出现。在51例患者中的49例(81.6%)中,计算机辅助断层扫描显示出慢性高血压性脑病特有的不同脑部病理改变,这些改变主要见于基底节区。

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