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大脑脚间动脉梗死:它只是一种罕见的脑血管变异,还是严重的多发后循环梗死的先兆?

Percheron Infarction: Is It Just a Rare Cerebrovascular Variant or a Forewarning of Severe Multiple Posterior Circulation Infarcts.

作者信息

Liu Junjiang, Xiao Han, Hu Zhiping

机构信息

Department of Neurology, The Second Xiangya Hospital of Central South University, Changsha, PR China.

Department of Neurology, The Second Xiangya Hospital of Central South University, Changsha, PR China.

出版信息

J Stroke Cerebrovasc Dis. 2019 Apr;28(4):e27-e29. doi: 10.1016/j.jstrokecerebrovasdis.2018.12.042. Epub 2019 Jan 14.

Abstract

Percheron infarction, arising from occlusion of the Artery of Percheron, is few, which can result in bilateral thalamic and mesencephalic infarctions. We herein showcase a confirmed case of the Percheron infarction at the admission day, in which the patient advanced into severe multiple posterior circulation infarcts, along with petechial hemorrhage within the infarcts, even given the right therapy without delay. It reminds us that whether we could or should take this special infarction as a forewarning of more harmful infarcts getting in the way, or at least a precaution of poor vessel condition.

摘要

大脑后动脉丘脑穿通支梗死(Percheron梗死)源于大脑后动脉丘脑穿通支闭塞,极为少见,可导致双侧丘脑和中脑梗死。本文展示了1例确诊的Percheron梗死病例,该患者入院时已进展为严重的多发后循环梗死,梗死灶内伴有瘀点样出血,即便及时给予了正确治疗。这提醒我们,是否应将这种特殊梗死视为更严重梗死发生的先兆,或者至少作为血管状况不佳的一种警示。

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