摘要
目的 :通过对 6例双侧丘脑急性梗死的回顾性分析 ,强调进一步认识此病的重要性。方法 :分析双侧丘脑急性梗死的临床及脑CT表现 ,归纳此病的共同特征 ,并结合文献复习 ,探讨此病的病理机制及鉴别诊断。结果 :双侧丘脑急性梗死在临床上以突发意识不清为特征 ,可伴有言语不清、肢体活动不灵等。在脑CT表现上主要为双侧丘脑对称性低密度灶 ,短期内复查可能发现病变范围的扩大。结论 :双侧丘脑急性梗死的脑CT表现有一定特征性 ,但须与中毒性脑病、病毒性脑炎等鉴别。密切结合临床可做出正确诊断。
Objective:By retraspective analysis of 6 cases of acute bithalamic infarctions (ABTI), further understanding of the disease was emphasized. Methods:The clinical and brain CT manifestations of ABTI were analyzed, the common features of which were concluded. With a review of pertinent literatures, the pathological mechanisms and differential diagnosis of the disease were discussed.Results:ABTI was characterized by a sudden onset of disturbance of consciousness. Lallopathy and acroparalysis might concurrently occur. Bithalamic symmetric hypodensities were the main brain CT manifestations. The involved area could be enlarged as shown on a follow-up brain CT. Conclusion:The CT manifestation of ABTI was somewhat of characteristic, but may be confused with toxic encephalopathy, viral encephalitis, etc. Differential diagnosis was needed. Proper diagnosis lonld be established by paying much attention to the clinical data as well as the CT findings.
出处
《中国中西医结合影像学杂志》
2004年第2期111-112,共2页
Chinese Imaging Journal of Integrated Traditional and Western Medicine
