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急性包膜梗死。病变部位及临床特征。

Acute capsular infarction. Location of the lesions and the clinical features.

作者信息

Kashihara M, Matsumoto K

出版信息

Neuroradiology. 1985;27(3):248-53. doi: 10.1007/BF00344496.

DOI:10.1007/BF00344496
PMID:4010925
Abstract

Sixty-three patients with lacunar-type of acute capsular infarction were treated in our service during the last 2 years. Their lesions were identified by computed tomography (CT) and classified into six types according to their locations: anterior, lateral, posterior, superior, inferior and multiple. The lesions were thought to be in the watershed areas of the regional arterial supplies, and the areas were considered to be prone to ischemia. The clinical course of each type showed characteristic features of ischemic strokes. In the majority of the patients with the lateral type, reversible ischemic neurological deficit (RIND) was seen as the predominant symptom, transient ischemic attack (TIA) was noted in the patients with the superior type, and major completed stroke was observed in those with posterior type.

摘要

在过去两年中,我们科室共治疗了63例腔隙性急性脑梗死患者。通过计算机断层扫描(CT)确定了他们的病灶,并根据病灶位置将其分为六种类型:前部、外侧、后部、上部、下部和多发。这些病灶被认为位于区域动脉供血的分水岭区域,这些区域被认为易于发生缺血。每种类型的临床病程都显示出缺血性卒中的特征性表现。在大多数外侧型患者中,可逆性缺血性神经功能缺损(RIND)是主要症状,在上部型患者中观察到短暂性脑缺血发作(TIA),而在后部型患者中则观察到严重的完全性卒中。

相似文献

1
Acute capsular infarction. Location of the lesions and the clinical features.急性包膜梗死。病变部位及临床特征。
Neuroradiology. 1985;27(3):248-53. doi: 10.1007/BF00344496.
2
A prospective study of lacunar infarction using computerized tomography.一项使用计算机断层扫描对腔隙性脑梗死的前瞻性研究。
Neurology. 1982 Jan;32(1):49-56. doi: 10.1212/wnl.32.1.49.
3
Large vessel disease in Chinese patients with capsular infarcts and prior ipsilateral transient ischaemia.
Neuroradiology. 1993;35(3):190-5. doi: 10.1007/BF00588491.
4
TIA, RIND, minor stroke: a continuum, or different subgroups? Dutch TIA Study Group.短暂性脑缺血发作、可逆性缺血性神经功能缺损、轻度卒中:一个连续体,还是不同亚组?荷兰短暂性脑缺血发作研究组
J Neurol Neurosurg Psychiatry. 1992 Feb;55(2):95-7. doi: 10.1136/jnnp.55.2.95.
5
[Prognosis of transient ischemic accidents disclosing infarction].
Rev Neurol (Paris). 1992;148(8-9):576-9.
6
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Comparison of clinical and neuroradiological findings in first-ever stroke. A population-based study.首次卒中的临床与神经放射学检查结果比较:一项基于人群的研究。
Stroke. 1994 Jul;25(7):1371-7. doi: 10.1161/01.str.25.7.1371.

引用本文的文献

1
Extensive metabolic and neuropsychological abnormalities associated with discrete infarction of the genu of the internal capsule.与内囊膝部离散性梗死相关的广泛代谢和神经心理异常。
J Neurol Neurosurg Psychiatry. 2001 Nov;71(5):658-62. doi: 10.1136/jnnp.71.5.658.
2
Unilateral lenticular infarcts: radiological and clinical syndromes, aetiology, and prognosis.单侧豆状核梗死:放射学和临床综合征、病因及预后
J Neurol Neurosurg Psychiatry. 1997 Nov;63(5):611-5. doi: 10.1136/jnnp.63.5.611.
3
When is sensorimotor stroke a lacunar syndrome?

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PURE MOTOR HEMIPLEGIA OF VASCULAR ORIGIN.血管源性纯运动性偏瘫
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Lacunes.腔隙性梗死灶
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10
Correlation of CT cerebral vascular territories with function: II. Posterior cerebral artery.CT脑血管区域与功能的相关性:II. 大脑后动脉
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