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胼胝体延迟性脑缺血:一例报告

Delayed Cerebral Ischemia of the Corpus Callosum: A Case Report.

作者信息

Halalmeh Dia R, Klinger Neil, Azad Sherwin, Fadel Hassan, Moisi Marc D

机构信息

Neurological Surgery, Detroit Medical Center, Detroit, USA.

Neurological Surgery, Wayne State University School of Medicine, Detroit, USA.

出版信息

Cureus. 2019 Dec 13;11(12):e6379. doi: 10.7759/cureus.6379.

Abstract

Ischemic infarction of the corpus callosum is a rare condition due to its rich vascular supply and therefore has been infrequently reported. Here, we present a case of a patient who developed a delayed infarct of the corpus callosum in the body. The condition was characterized by bilateral lower extremity weakness and visual disturbances following intraventricular hemorrhage managed with ventriculostomy. Understanding the anatomy and function of the corpus callosum is crucial to understanding the etiology of infarctions as well as their clinical significance. It is also essential to distinguish between relatively common post-shunting changes and true infarction and to recognize the limited consequences of corpus callosum infarction. Increased awareness of this rare infarct would help to prevent unnecessary interventions and increase the ability of the physician to provide optimal care for the patient.

摘要

胼胝体缺血性梗死是一种罕见病症,因其血管供应丰富,故而鲜有报道。在此,我们呈现一例患者,其胼胝体体部出现延迟性梗死。该病症的特征为脑室出血并接受脑室造瘘术后出现双侧下肢无力和视觉障碍。了解胼胝体的解剖结构和功能对于理解梗死的病因及其临床意义至关重要。区分相对常见的分流后改变与真正的梗死,以及认识胼胝体梗死的有限后果也很重要。提高对这种罕见梗死的认识将有助于避免不必要的干预,并增强医生为患者提供最佳治疗的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f89b/6957044/6bb51a57b0b9/cureus-0011-00000006379-i01.jpg

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