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多发性梗死性痴呆

Multi-infarct dementia.

作者信息

Harrison M J, Thomas D J, Du Boulay G H, Marshall J

出版信息

J Neurol Sci. 1979 Feb;40(2-3):97-103. doi: 10.1016/0022-510x(79)90195-3.

DOI:10.1016/0022-510x(79)90195-3
PMID:430104
Abstract

Fifty-two patients presenting with dementia were divided into a group in whom clinical features suggested an ischaemic basis (multi-infarct dementia) and a group in whom a primary degenerative process seemed more likely. Focal EEG changes and angiographic evidence of ischeamic areas and atheromatous disease of intracranial vessels were more common in the "ischaemic" than in the primary degenerative group. CBF was significantly reduced in the former but the regional pattern was equally distorted in the two groups. These findings strengthen the belief that the ischaemic score can identify those patients whose dementia is associated with vascular disease.

摘要

52例患有痴呆症的患者被分为两组,一组患者的临床特征提示存在缺血性基础(多发梗死性痴呆),另一组患者似乎更有可能存在原发性退行性病变。与原发性退行性病变组相比,“缺血性”组的局灶性脑电图改变、缺血区域的血管造影证据以及颅内血管动脉粥样硬化疾病更为常见。前者的脑血流量显著降低,但两组的区域模式同样紊乱。这些发现强化了这样一种信念,即缺血评分可以识别那些痴呆症与血管疾病相关的患者。

相似文献

1
Multi-infarct dementia.多发性梗死性痴呆
J Neurol Sci. 1979 Feb;40(2-3):97-103. doi: 10.1016/0022-510x(79)90195-3.
2
Comparison of angiographic and CT findings between patients with multi-infarct dementia and those with dementia due to primary neuronal degeneration.多发梗死性痴呆患者与原发性神经元变性所致痴呆患者的血管造影和CT表现比较。
Neuroradiology. 1978;16:113-5. doi: 10.1007/BF00395221.
3
Clinical differentiation of primary degenerative and multi-infarct dementia: a critical review of the evidence. Part I: Clinical studies.
Biol Psychiatry. 1983 Dec;18(12):1451-65.
4
Cerebral blood flow in dementia.痴呆症中的脑血流量
Arch Neurol. 1975 Sep;32(9):632-7. doi: 10.1001/archneur.1975.00490510088009.
5
Penumbral probability thresholds of cortical flumazenil binding and blood flow predicting tissue outcome in patients with cerebral ischaemia.皮质氟马西尼结合和血流的半暗带概率阈值预测脑缺血患者的组织转归
Brain. 2001 Jan;124(Pt 1):20-9. doi: 10.1093/brain/124.1.20.
6
Regional cerebral blood flow in organic dementia with early onset.早发性器质性痴呆的局部脑血流量
Acta Neurol Scand. 1970;46(S43):42-73. doi: 10.1111/j.1600-0404.1970.tb02156.x.
7
[Relation between disorders of cerebral circulation and central hemodynamics in cerebral infarct and several types of cardiac arrhythmia].[脑梗死中脑循环障碍与中心血流动力学及几种类型心律失常的关系]
Kardiologiia. 1986 Sep;26(9):29-32.
8
[EEG in multi-infarcts with and without intellectual deterioration].[伴有和不伴有智力衰退的多发性梗死中的脑电图]
EEG EMG Z Elektroenzephalogr Elektromyogr Verwandte Geb. 1983 Dec;14(4):204-8.
9
Heterogeneity of vascular dementia: mechanisms and subgroups.血管性痴呆的异质性:机制与亚组
J Geriatr Psychiatry Neurol. 1993 Jul-Sep;6(3):177-88. doi: 10.1177/089198879300600307.
10
Cerebral angiography and MR perfusion images in patients with ischemic cerebral vascular disease.缺血性脑血管病患者的脑血管造影和磁共振灌注图像。
Chin Med J (Engl). 2002 Nov;115(11):1687-91.

引用本文的文献

1
The diagnostic utility of EEG in early-onset dementia: a systematic review of the literature with narrative analysis.脑电图在早发性痴呆中的诊断效用:文献系统评价与叙述性分析。
J Neural Transm (Vienna). 2014 Jan;121(1):59-69. doi: 10.1007/s00702-013-1070-5. Epub 2013 Jul 31.
2
Hachinski's ischemic score and the diagnosis of vascular dementia: a review.
Ital J Neurol Sci. 1993 Oct;14(7):539-46. doi: 10.1007/BF02339212.
3
Subcortical arteriosclerotic encephalopathy: a clinical and radiological investigation.皮质下动脉硬化性脑病:一项临床与影像学研究。
J Neurol Neurosurg Psychiatry. 1981 Apr;44(4):294-304. doi: 10.1136/jnnp.44.4.294.
4
Diagnosing dementia: do we get it right?诊断痴呆症:我们做得对吗?
BMJ. 1988 Oct 8;297(6653):894-6. doi: 10.1136/bmj.297.6653.894.
5
Differential diagnosis of dementia.痴呆的鉴别诊断。
Br Med J (Clin Res Ed). 1986 May 31;292(6533):1416-8. doi: 10.1136/bmj.292.6533.1416.
6
Evaluation of cognitive impairment in the elderly.老年人认知障碍的评估
J Gen Intern Med. 1990 Jan-Feb;5(1):55-64. doi: 10.1007/BF02602310.