[皮质下脑血管意外：临床特征、病变部位与单光子发射断层扫描血流测量之间的相关性]

[Subcortical cerebrovascular accidents: correlation between clinical aspects, topography and flow measurements using single photon emission tomography].

作者信息

Rapin P A, Bogousslavsky J, Regli F, Assal G, Delaloye B

机构信息

Service de neurologie, Centre hospitalier universitaire vaudois, Lausanne.

出版信息

Schweiz Med Wochenschr. 1993 Oct 2;123(39):1829-36.

PMID:8211035

Abstract

35 patients with subcortical ischemic or hemorrhagic stroke included in the Lausanne Stroke Registry underwent cerebral blood flow measurement using I-123-IMP and 99mTc-HMPAO single photon emission tomography (SPECT). Our findings suggest that neuropsychological disturbances are not systematically correlated to cortical hypoperfusion secondary to the deep lesion (diaschisis). The role of cortical diaschisis was especially prominent in patients with aphasia and left subcortical lesion.

摘要

纳入洛桑卒中登记处的35例皮质下缺血性或出血性卒中患者，使用I-123-异丁基安非他明（IMP）和99m锝-六甲基丙烯胺肟（99mTc-HMPAO）单光子发射断层扫描（SPECT）进行脑血流量测量。我们的研究结果表明，神经心理障碍与深部病变（交叉性小脑失联络）继发的皮质灌注不足没有系统性关联。皮质交叉性小脑失联络在失语症和左侧皮质下病变患者中作用尤为突出。