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本文引用的文献

1
Arterial Supply of the Thalamus: A Comprehensive Review.丘脑的动脉供应:全面综述。
World Neurosurg. 2020 May;137:310-318. doi: 10.1016/j.wneu.2020.01.237. Epub 2020 Feb 7.
2
Clinical Stroke Syndromes.临床卒中综合征
Front Neurol Neurosci. 2016;40:72-92. doi: 10.1159/000448303. Epub 2016 Dec 2.
3
Specific changes in human brain following reperfusion after cardiac arrest.心脏骤停后再灌注时人脑的特定变化。
Stroke. 1994 Oct;25(10):2091-5. doi: 10.1161/01.str.25.10.2091.

心肺骤停继发丘脑前缺血性卒中

ANTERIOR THALAMIC ISCHAEMIC STROKE SECONDARY TO CARDIOPULMONARY ARREST.

作者信息

Cavaco João Luís, Capinha Francisco, Pires Maria José, Furão Rodrigues Ana, Oliveira Pedro Ana, Pais de Lacerda António

机构信息

Department of Internal Medicine II, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal.

Department of Gastroenterology, Centro Hospitalar Universitário Lisboa Norte, E.P.E., Lisbon, Portugal.

出版信息

Eur J Case Rep Intern Med. 2023 Feb 2;10(2):003750. doi: 10.12890/2023_003750. eCollection 2023.

DOI:10.12890/2023_003750
PMID:36970164
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10035628/
Abstract

INTRODUCTION

Ischaemic anterior thalamic lesions are rare and can present with disturbances of behaviour and memory. We describe a patient with post-cardiac arrest thalamic stroke.

CASE DESCRIPTION

A 63-year-old man presented with cardiac arrest, was resuscitated after receiving life support, and showed no lesions on computed tomography. Three days later, he presented with short-term memory disturbance and disorientation, with a de novo anterior thalamic lesion.

CONCLUSION

The anterior thalamic nucleus, supplied by the posterior communicating artery, is part of the Papez circuit and has a role in modulating behaviour and memory. An anterior thalamic syndrome presents with no sensory-motor deficits.

LEARNING POINTS

Anterior thalamic stroke is a rare condition and can present with disturbances of short-term memory and behaviour; it usually does not include any motor or sensory deficits.Thalamic stroke can occur due to global hypoxia, such as during cardiopulmonary arrest.

摘要

引言

丘脑前缺血性病变罕见,可表现为行为和记忆障碍。我们描述一名心脏骤停后发生丘脑卒中的患者。

病例描述

一名63岁男性出现心脏骤停,接受生命支持后复苏,计算机断层扫描未显示病变。三天后,他出现短期记忆障碍和定向障碍,出现新发的丘脑前病变。

结论

由后交通动脉供血的丘脑前核是帕佩兹环路的一部分,在调节行为和记忆方面发挥作用。丘脑前综合征无感觉运动功能缺损。

学习要点

丘脑前卒中是一种罕见疾病,可表现为短期记忆和行为障碍;通常不包括任何运动或感觉功能缺损。丘脑卒中可因全身性缺氧而发生,如在心肺骤停期间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742a/10035628/6e8a35ad617a/3750_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742a/10035628/1cf5ab7c60d1/3750_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742a/10035628/6e8a35ad617a/3750_Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742a/10035628/1cf5ab7c60d1/3750_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/742a/10035628/6e8a35ad617a/3750_Fig2.jpg