Gorsselink E L, Peeters H P, Lodder J
Clin Neurol Neurosurg. 1984;86(4):271-3. doi: 10.1016/0303-8467(84)90288-9.
Clinical data of 83 patients with symptomatic CT detected small deep infarcts in one of the cerebral hemispheres were retrospectively reviewed. 61 Percent had hypertension. In 15 percent a cardiac embolus was the most probable cause of a small deep infarct. In 22 cases angiography had been performed and ipsilateral internal carotid stenosis was present in 6 cases. It is suggested that small deep infarcts visible on CT may be caused by cardiac emboli and artery-to-artery emboli from carotid lesions, besides small vessel disease due to hypertension. Therefore anticoagulation or angiography, if need be, followed by carotid endarterectomy, may be indicated in a number of cases.
对83例经CT检测出大脑半球有症状性小的深部梗死灶的患者临床资料进行回顾性分析。61%的患者患有高血压。15%的患者小的深部梗死灶最可能的原因是心脏栓子。22例患者进行了血管造影，其中6例存在同侧颈内动脉狭窄。研究表明，CT上可见的小的深部梗死灶可能是由心脏栓子、颈动脉病变导致的动脉到动脉的栓子引起的，此外还有高血压导致的小血管病变。因此，在一些病例中，可能需要进行抗凝治疗或血管造影，必要时行颈动脉内膜切除术。
