Gorson K C, Pessin M S, DeWitt L D, Caplan L R
Neurology Service, St. Elizabeth's Medical Center, Boston, MA, USA.
Neurology. 1996 Feb;46(2):548-51. doi: 10.1212/wnl.46.2.548.
To report five stroke patients with sensory deficits including prominent chest discomfort mimicking angina.
Chest wall sensory discomfort, as a part of unilateral sensory dysfunction, has seldom been recognized as a potential imitator of cardiac ischemia.
A retrospective review of stroke patients with sensory symptoms from the New England Medical Center Stroke Registry.
As a part of an acute stroke that included unilateral sensory symptoms and signs, five patients had chest pain or discomfort, which prompted cardiac evaluation for potential coronary artery disease. In two patients, the primary presentation was chest discomfort. In the other three, chest discomfort was part of a more extensive stroke syndrome. The symptoms were described as "burning," "hot feeling," "flashes," "tightness," and "cold." In three patients, an MRI or CT scan showed an infarct in the thalamus, corona radiata, or lateral medulla. Cardiac evaluation was negative in all but one patient who had single vessel percutaneous transluminal coronary angioplasty without resolution of sensory symptoms. Chest discomfort fluctuated but persisted for months or years after presentation.
Chest discomfort mimicking cardiac ischemia may be a prominent sensory symptom in acute stroke.
报告五例有感觉障碍的中风患者，其症状包括酷似心绞痛的明显胸部不适。
胸壁感觉不适作为单侧感觉功能障碍的一部分，很少被认为是心脏缺血的潜在模仿症状。
对新英格兰医学中心中风登记处有感觉症状的中风患者进行回顾性研究。
作为急性中风的一部分，五例患者出现胸痛或不适，这促使对其进行心脏评估以排查潜在的冠状动脉疾病。两例患者的主要表现为胸部不适。另外三例中，胸部不适是更广泛的中风综合征的一部分。症状被描述为“灼痛”“热感”“刺痛”“紧绷感”和“冷感”。三例患者的MRI或CT扫描显示丘脑、放射冠或延髓外侧有梗死灶。除一例接受单支血管经皮腔内冠状动脉成形术但感觉症状未缓解的患者外，所有患者的心脏评估结果均为阴性。胸部不适症状有波动，但在出现后持续数月或数年。
酷似心脏缺血的胸部不适可能是急性中风的突出感觉症状。
