Reider-Groswasser I, Bornstein N M, Korczyn A D
Department of Radiology, Tel-Aviv Sourasky Medical Center, Israel.
Eur Neurol. 1995;35(1):46-9. doi: 10.1159/000117089.
Forty-five patients with CT findings of lucanar infarcts in the basal ganglia (LIBG) were included in this study. The patients were divided into those with lacunes in the caudate nucleus, lentiform nucleus or both caudate and lentiform nuclei. Linear measurements of ventricular spaces were also performed. Clinical evaluation disclosed parkinsonism in 17 patients (38%), strokes with contralateral hemiparesis in 14 (31%), while 9 (20%) had both parkinsonism and hemiparesis. The location and number of infarcts did not correlate with the clinical presentation. We conclude that LIBG are commonly associated with parkinsonism and that CT studies may help in the delineation of vascular parkinsonism.
本研究纳入了45例经CT检查发现基底节腔隙性梗死（LIBG）的患者。这些患者被分为尾状核、豆状核或尾状核与豆状核均有腔隙的患者。同时还对脑室间隙进行了线性测量。临床评估发现，17例患者（38%）出现帕金森综合征，14例（31%）出现对侧偏瘫性中风，而9例（20%）同时出现帕金森综合征和偏瘫。梗死的部位和数量与临床表现无关。我们得出结论，LIBG通常与帕金森综合征相关，CT研究可能有助于明确血管性帕金森综合征。
