Anzalone N, Landi G
Clinica Neurologica, Ospedale Policlinico di Milano.
Ital J Neurol Sci. 1988 Oct;9(5):515-7. doi: 10.1007/BF02337172.
We report the case of a 20-year-old woman who presented with pure motor hemiparesis due to a deep hemispheric infarction after delivery of twins followed by marked blood loss and anemia. Echocardiography revealed mitral valve prolapse, which was regarded as the main determinant of her stroke, since detailed clinical and instrumental evaluation disclosed no other apparent causes. Careful analysis of predisposing factors is warranted in lacunar strokes, particularly if they occur in young patients.
我们报告了一例20岁女性病例，该患者在分娩双胞胎后出现大量失血和贫血，继而发生深部半球梗死，导致纯运动性偏瘫。超声心动图显示二尖瓣脱垂，由于详细的临床和器械评估未发现其他明显病因，二尖瓣脱垂被视为其卒中的主要决定因素。对于腔隙性卒中，尤其是发生在年轻患者中的情况，有必要仔细分析诱发因素。
