Perrone P, Candelise L, Scotti G, De Grandi C, Scialfa G
Eur Neurol. 1979;18(4):217-21. doi: 10.1159/000115079.
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.
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。