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小脑边缘区梗死常与推测的缺血性卒中的心源性病因相关。

Cerebellar border zone infarcts are often associated with presumed cardiac sources of ischaemic stroke.

作者信息

Mounier-Vehier F, Degaey I, Leclerc X, Leys D

机构信息

Department of Neurology, University of Lille, France.

出版信息

J Neurol Neurosurg Psychiatry. 1995 Jul;59(1):87-9. doi: 10.1136/jnnp.59.1.87.

DOI:10.1136/jnnp.59.1.87
PMID:7608717
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1073608/
Abstract

It has been suggested that most border zone cerebellar infarcts are embolic infarcts or infarcts due to hypercoagulatble states. The aim of this study was to test this hypothesis. Risk factors for the presumed mechanism of stroke (TOAST criteria) were studied in 14 consecutive patients (nine men, five women; age range 29-84 years) with a total of 17 border zone cerebellar infarcts. The presumed cause of stroke was "cardioembolism" in nine patients. Three patients had a dissection of the vertebral artery. Two patients had a negative diagnostic investigation, and one had a cardiac arrest. These findings support the hypothesis that cardioembolism is a frequent mechanism of border zone cerebellar infarcts.

摘要

有人提出，大多数小脑边缘区梗死是栓塞性梗死或由高凝状态导致的梗死。本研究的目的是验证这一假设。对14例连续的患者（9例男性，5例女性；年龄范围29 - 84岁）共17处小脑边缘区梗死进行了研究，分析了推测的卒中机制（TOAST标准）的危险因素。推测的卒中原因是9例患者为“心源性栓塞”。3例患者有椎动脉夹层。2例患者诊断检查结果为阴性，1例发生心脏骤停。这些发现支持了心源性栓塞是小脑边缘区梗死常见机制的假设。

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