Milhaud D, Magnié M N, Roger P M, Bedoucha P
Service de Neurologie, Hôpital Guy de Chauliac, CHU de Montpellier.
Rev Neurol (Paris). 1994;150(4):286-91.
Eight patients with caudate nucleus infarcts are reported. The main clinical findings were often transient facio-brachial weakness (6 patients), depression (4 patients), subcortical aphasia with decreased spontaneous verbal activity (2 patients), and aboulia (2 patients). The ischemic lesions of caudate nucleus often extend into the adjacent anterior limb of the internal capsule and the anterior putamen owing to vascularization pattern. The specific clinical picture of this entity also includes lesions of nearby white matter tracts. Risk factors, etiology of infarcts, clinical findings and prognosis were similar to those reported in striato-capsular infarcts. We suggest replacing the term caudate infarct by anterior striato-capsular infarct.
报告了8例尾状核梗死患者。主要临床症状常为短暂性面臂无力（6例）、抑郁（4例）、伴有自发语言活动减少的皮质下失语（2例）和意志缺失（2例）。由于血管分布模式，尾状核的缺血性病变常延伸至相邻的内囊前肢和壳核前部。该实体的特定临床表现还包括附近白质束的病变。危险因素、梗死病因、临床表现和预后与纹状体-囊梗死的报道相似。我们建议用前纹状体-囊梗死取代尾状核梗死这一术语。
