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急性缺血性卒中后胼胝体压部的短暂性病变

Transient Lesion of the Splenium of the Corpus Callosum after Acute Ischemic Stroke.

作者信息

Yamaguchi Yoshitaka, Iwasaki Yuko, Wada Manabu, Makita Naoki, Nagasawa Hikaru, Yamakawa Tatsushi, Toyoda Kazunori

机构信息

Department of Neurology, Yamagata Prefectural Central Hospital, Japan.

Department of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Japan.

出版信息

Intern Med. 2019 Apr 1;58(7):1011-1015. doi: 10.2169/internalmedicine.1010-18. Epub 2018 Nov 19.

Abstract

Two patients who showed transient lesions in the splenium of the corpus callosum (SCC) secondary to acute ischemic stroke are reported. Both patients had embolic strokes and showed an isolated lesion in the SCC on magnetic resonance imaging (MRI) 1-2 weeks after the onset of stroke, with a hyperintense lesion on diffusion-weighted imaging and decreased apparent diffusion coefficient values, with no symptoms related to the lesion. In both cases, the lesion disappeared on MRI approximately 1 week later. Clinicians should note that transient SCC lesions can occur following acute ischemic stroke and avoid misdiagnosing them and performing unnecessary examinations or treatment.

摘要

报告了2例继发于急性缺血性卒中的胼胝体压部(SCC)出现短暂性病变的患者。两名患者均为栓塞性卒中,在卒中发作后1-2周的磁共振成像(MRI)上显示SCC有孤立性病变,弥散加权成像上有高信号病变,表观扩散系数值降低,且无与该病变相关的症状。在这两例病例中,病变在大约1周后的MRI上消失。临床医生应注意,急性缺血性卒中后可能会出现短暂性SCC病变,避免误诊以及进行不必要的检查或治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/521e/6478992/4337931d5f46/1349-7235-58-1011-g001.jpg

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