Advani Rajiv, Sandset Else Charlotte, Stjernstrøm Espen
Stroke Unit, Department of Neurology, Oslo University Hospital, Oslo, Norway.
Neuroscience Research Group, Stavanger University Hospital, Stavanger, Norway.
Radiol Case Rep. 2021 Feb 2;16(4):884-887. doi: 10.1016/j.radcr.2021.01.047. eCollection 2021 Apr.
Reversed Robin Hood Syndrome (RRHS) was first described in 2007 as a cause of worsening neurological deficit in the setting of an acute ischemic event. RRHS is the shunting of cerebral blood flow to nonstenotic vascular territories due to impaired vasodilation bought on by hypercapnia. A 77 year old lady presented with acute onset left hemiparesis and an exacerbation of her underlying chronic obstructive pulmonary disease (COPD). CT angiography and perfusion visualized RRHS and appropriate treatment was initiated. Treatment strategies for RRHS differ considerably to those for acute ischemic stroke. Choosing the correct treatment strategy is decisive for good clinical outcome.
反向罗宾汉综合征（RRHS）于2007年首次被描述为急性缺血事件中导致神经功能缺损恶化的一个原因。RRHS是由于高碳酸血症引起血管舒张功能受损，导致脑血流向无狭窄的血管区域分流。一名77岁女性因急性左半身轻瘫以及潜在的慢性阻塞性肺疾病（COPD）加重而就诊。CT血管造影和灌注成像显示了RRHS，并启动了适当的治疗。RRHS的治疗策略与急性缺血性中风的治疗策略有很大不同。选择正确的治疗策略对良好的临床结果起着决定性作用。
