Department of Neurosurgery, Hadassah University Medical Center, Ein-Kerem, P.O. Box 12,000, Jerusalem 91120, Israel.
J Clin Neurosci. 2012 Dec;19(12):1730-3. doi: 10.1016/j.jocn.2012.04.010. Epub 2012 Sep 19.
The stereotype of repetitive transient cerebral ischemia causing unilateral motor, sensory, or sensorimotor deficits that simultaneously affect the face, arm, and leg, clinically localized to the internal capsule, fits with the description of capsular warning syndrome (CWS). A high proportion of individuals with these symptoms develop subsequent capsular stroke, despite various proposed preventative measures. It has been postulated that the mechanism for such strokes is that of small-vessel single-penetrator disease. We present a patient with repetitive CWS intermingled with crescendo capsular strokes secondary to recurrent artery of Heubner disease. This report causally links CWS-crescendo lacunar strokes and Heubner artery atherosclerotic disease (intracranial branch atheromatous disease).
刻板印象认为，反复短暂性脑缺血会导致单侧运动、感觉或感觉运动功能障碍，同时影响面部、手臂和腿部，临床定位于内囊，符合囊警告综合征（CWS）的描述。尽管提出了各种预防措施，但相当一部分有这些症状的人会发展为后续的囊卒中。有人推测，这种中风的机制是小血管单一穿透性疾病。我们报告了一例反复出现 CWS 的患者，伴有 crescendo 囊卒中，继发于反复性 Heubner 动脉疾病。本报告因果关联了 CWS-crescendo 腔隙性中风和 Heubner 动脉粥样硬化性疾病（颅内分支粥样硬化性疾病）。
