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《石头血管:列宁的“大脑血液循环障碍”》

Vessels of Stone: Lenin's "circulatory disturbance of the brain".

机构信息

Departments of Neurology, and Pathology and Laboratory Medicine (Neuropathology), the David Geffen School of Medicine at UCLA, Los Angeles California 90095, USA.

出版信息

Hum Pathol. 2013 Oct;44(10):1967-72. doi: 10.1016/j.humpath.2012.11.017. Epub 2013 Feb 18.

Abstract

Many have wondered what might have become of the totalitarian state Lenin founded on merciless terror, had he not died so young. He was 52 and at the height of his power when he had his first stroke. Six months later he had another and then a third stroke three months after that. He died 3 months shy of his 54th birthday with cerebral arteries so calcified that when tapped with tweezers at the time of his autopsy, they sounded like stone. The reason for his premature atherosclerosis has yet to be explained. He had a family history of cardiovascular disease and, therefore, is suspected of having had an inherited lipid disorder. Stress too might have had a role in the progression of his atherosclerosis. However, neither would explain the extent of the calcification of his cerebral arteries identified at post mortem examination. A recently described variant of the NT5E mutation might explain such calcification, as well as Lenin's family history of cardiovascular disease, and his premature cerebrovascular attacks.

摘要

很多人想知道,如果列宁没有英年早逝,他创建的那个以残酷恐怖为基础的极权主义国家会变成什么样。他在第一次中风时年仅 52 岁,正处于权力巅峰。6 个月后,他又经历了第二次中风,3 个月后又经历了第三次中风。他在距离 54 岁生日还差 3 个月时去世,大脑动脉已经钙化,在尸检时用镊子敲击时,听起来像石头。他过早出现动脉粥样硬化的原因尚未得到解释。他有心血管疾病家族史,因此怀疑他患有遗传性脂质紊乱。压力也可能在他的动脉粥样硬化进展中起作用。然而,这两者都无法解释他死后尸检时发现的大脑动脉钙化的程度。最近描述的 NT5E 突变变体可能可以解释这种钙化,以及列宁的心血管疾病家族史,以及他的早发性脑血管攻击。

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