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[经多普勒连续波检测的颈内动脉闭塞性病变中神经损伤与侧支循环的关系]

[Relation between neurologic damage and collateral circulation detected by Doppler CW in occlusive pathology of the internal carotid].

作者信息

Giraldi C, Volpentesta L, Manetti M, Guidi M, Galli R, Parenti G, Muratorio A

出版信息

Riv Neurol. 1986 May-Jun;56(3):189-97.

PMID:3538347
Abstract

76 patients affected by acute ischemic encephalopathy due to i.c.a. occlusion have been examined through a Doppler nosography, in order to evaluate the influence of the type of collateral circle on the neurologic damage. Collateral circles between the external and internal carotid arteries were established through the ophthalmic artery in 80% of cases (A) and through the Willis circle in 70% of cases (B). Those two types of compensation do not seem to have prognostic value with regard to disability; on the contrary a remarkable difference was observed in the type of pathology (A = Stroke 40%, RIA 60%; B = 77%, RIA 23%).

摘要

76例因颈内动脉闭塞而患有急性缺血性脑病的患者通过多普勒超声检查进行了检查,以评估侧支循环类型对神经损伤的影响。80%的病例(A组)通过眼动脉建立颈外动脉和颈内动脉之间的侧支循环,70%的病例(B组)通过Willis环建立侧支循环。这两种代偿类型在残疾预后方面似乎没有预后价值;相反,在病理类型上观察到显著差异(A组:中风40%,视网膜缺血性病变60%;B组:中风77%,视网膜缺血性病变23%)。

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