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[检测大脑前、中、后动脉“盗血”综合征的神经心理学方法]

[Neuropsychological approach to detecting the anterior, middle and posterior cerebral artery "steal" syndromes].

作者信息

Moskovichiute L I, Serbinenko F A, Smirnov N A, Filatov Iu M

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1979;79(9):1296-1300.

PMID:494928
Abstract

Neuropsychological symptoms of "robbing" the anterior, median, and posterior cerebral arteries due to the ischemia caused within their basins by arteriovenous aneurisms were studied. The disappearance of the "robbing" symptoms after occluding the influx vessels of the aneurism by a separable balloon-catheter (62 observations), or after radical excision of the arteriovenous aneurism (81 observations) was taken for the control. The dynamics of the "robbing" symptoms in the process of the endovascular operations was followed. The importance of the "robbing" and the local symptoms associated with the localization of the vascular conglomerate for the clinic of arteriovenous aneurisms is demonstrated. A high sensitivity of the neuropsychological tests to changes of the cerebral hemodynamics is noted.

摘要

研究了因动静脉瘤在其供血区内引起缺血而导致大脑前、中、后动脉“盗血”的神经心理学症状。以用可分离球囊导管闭塞动脉瘤的流入血管后(62例观察)或动静脉瘤根治切除术后(81例观察)“盗血”症状消失作为对照。观察了血管内手术过程中“盗血”症状的动态变化。证明了“盗血”及与血管团定位相关的局部症状对动静脉瘤临床的重要性。注意到神经心理学测试对脑血流动力学变化具有高敏感性。

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