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短暂性脑缺血发作患者的CT评估。临床与血管造影结果之间的相关性。

CT evaluation in patients with transient ischemic attack. Correlation between clinical and angiographic findings.

作者信息

Perrone P, Candelise L, Scotti G, De Grandi C, Scialfa G

出版信息

Eur Neurol. 1979;18(4):217-21. doi: 10.1159/000115079.

DOI:10.1159/000115079
PMID:488138
Abstract

35 patients clinically diagnosed with transient ischemic attack (TIA) and 15 patients clinically diagnosed with reversible ischemic neurological deficits (RIND) were examined by computerized tomography (CT). 34% of TIA patients showed positive CT scans consisting of small hypodenase areas: 60% of RIND patients had larger lesions. In 20% of the overall group the only pathological finding consisted of unilateral focal atophy or ventricular asymmetry. Correlation between angiographically demonstrated atherosclerotic lesions and positive CT was high. On the contrary, no correlation was found between either the risk factors or the natural history of ischemic attack and positive CT findings.

摘要

对35例临床诊断为短暂性脑缺血发作(TIA)的患者和15例临床诊断为可逆性缺血性神经功能缺损(RIND)的患者进行了计算机断层扫描(CT)检查。34%的TIA患者CT扫描呈阳性,表现为小的低密度区:60%的RIND患者有更大的病变。在整个研究组中,20%的患者唯一的病理发现是单侧局灶性萎缩或脑室不对称。血管造影显示的动脉粥样硬化病变与CT阳性之间的相关性很高。相反,在缺血性发作的危险因素或自然病史与CT阳性结果之间未发现相关性。

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Eur Neurol. 1979;18(4):217-21. doi: 10.1159/000115079.
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引用本文的文献

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The Impact of Transient Ischemic Attack (TIA) on Brain and Behavior.短暂性脑缺血发作(TIA)对大脑和行为的影响。
Front Behav Neurosci. 2019 Mar 11;13:44. doi: 10.3389/fnbeh.2019.00044. eCollection 2019.
2
Transient ischemic attack: definition, diagnosis, and risk stratification.短暂性脑缺血发作:定义、诊断和风险分层。
Neuroimaging Clin N Am. 2011 May;21(2):303-13, x. doi: 10.1016/j.nic.2011.01.013.
3
Clinical evaluation and management of transient ischemic attacks.短暂性脑缺血发作的临床评估与管理
West J Med. 1987 Apr;146(4):452-60.
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Computed tomography in reversible ischaemic attacks: clinical and prognostic correlations in a prospective study.可逆性缺血性发作的计算机断层扫描:一项前瞻性研究中的临床与预后相关性
J Neurol. 1988 Jan;235(3):155-8. doi: 10.1007/BF00314306.
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Cerebral blood flow, computerized tomography and angiography in 562 cases of cerebrovascular insufficiency.
Neurosurg Rev. 1987;10(4):265-7. doi: 10.1007/BF01781948.
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Cerebral infarction in patients with transient ischemic attacks.
J Neurol. 1989 Mar;236(3):182-4. doi: 10.1007/BF00314339.
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Computed tomography in patients with transient ischaemic attacks: when is a transient ischaemic attack not a transient ischaemic attack but a stroke?短暂性脑缺血发作患者的计算机断层扫描:何时短暂性脑缺血发作并非短暂性脑缺血发作而是中风?
J Neurol. 1990 Jul;237(4):257-61. doi: 10.1007/BF00314630.
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Ital J Neurol Sci. 1991 Aug;12(4):377-82. doi: 10.1007/BF02335777.
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