Huang C Y, Woo E, Yu Y L, Chan F L
J Neurol Neurosurg Psychiatry. 1987 Jun;50(6):720-6. doi: 10.1136/jnnp.50.6.720.
Forty five patients with clear sensorium and no neurological deficits other than unilateral motor and sensory impairment underwent computed tomography (CT). Twenty patients had sensorimotor stroke with impairment of all sensory modalities (type 1). Eight had only impairment of nociceptive sensation (type 2) and 15 had only proprioceptive impairment (type 3). Two patients had sensory impairment in one limb only (type 4). Lacunes were found in patients in the first three groups. However, 80% of those who had hemiparesis and incomplete sensory loss were found to have a lacune or normal CT scan whilst only 33% of those with complete motor or sensory impairment had lacunes. It is proposed that sensorimotor stroke as a lacunar syndrome be best restricted to those with only mild to moderate hemiparesis and sensory impairment in both upper and lower limbs. The degree and extent of sensory and motor involvement may vary, however, possibly dependent on whether the thalamo-geniculate, anterior choroidal or lateral lenticulostriate artery is affected.
45名神志清醒、除单侧运动和感觉障碍外无神经功能缺损的患者接受了计算机断层扫描（CT）。20名患者患有感觉运动性卒中，所有感觉模式均受损（1型）。8名患者仅有伤害性感觉障碍（2型），15名患者仅有本体感觉障碍（3型）。2名患者仅在一个肢体有感觉障碍（4型）。在前三组患者中发现了腔隙。然而，80%有偏瘫和不完全感觉丧失的患者被发现有腔隙或CT扫描正常，而仅有33%有完全运动或感觉障碍的患者有腔隙。有人提出，作为腔隙综合征的感觉运动性卒中最好仅限于那些仅有轻度至中度偏瘫以及上下肢感觉障碍的患者。然而，感觉和运动受累的程度和范围可能有所不同，这可能取决于丘脑膝状体动脉、脉络膜前动脉或外侧豆纹动脉是否受到影响。
