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[短暂性脑缺血发作和中风]

[Transient ischemic attacks and stroke].

作者信息

Kanareĭkin K F, Kutchak E N, Kniazeva G R

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(8):1121-5.

PMID:899520
Abstract

The authors present some results of a study of 85 patients with brain strokes which were preceded by transient cerebral ischemic attacks. In most of the cases the brain stroke developed on the background of an ischemic cardiac diabetus, atheroscleorosis of the peripheral vessels, etc. It was established that in patients with atherosclerosis, the strokes developed at earlier periods after the first ischemic attack, than in the group of patients where atherosclerosis developed in combination with arterial hypertension. In disturbance of circulation in the basin of the carotid arteries, the strokes with preceding ischemic attacks developed not only more frequently, but earlier than those due to insufficiency of the circulation in the vertebro-basillar basin. It was also established that crude focal symptomatology appears as a rule in those cases when the stroke develops after the first ischemic attack. In frequent attacks which are repeated during several years, the appearing stroke is characterized by a more light focal symptomatology.

摘要

作者介绍了一项对85例曾有短暂性脑缺血发作的脑卒中患者的研究结果。在大多数病例中,脑卒中是在缺血性心脏糖尿病、外周血管动脉粥样硬化等背景下发生的。已确定,与动脉高血压合并发生动脉粥样硬化的患者组相比,患有动脉粥样硬化的患者在首次缺血性发作后的更早时期发生脑卒中。在颈动脉供血区循环障碍时,有先前缺血发作的脑卒中不仅比椎基底动脉供血区循环不足所致的脑卒中更频繁地发生,而且发生得更早。还确定,当脑卒中在首次缺血性发作后发生时,通常会出现明显的局灶性症状。在数年中反复出现的频繁发作中,出现的脑卒中的特点是局灶性症状较轻。

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