摘要
目的探讨胼胝体梗死的临床特点、影像学改变及临床诊断。方法收集2010。2013年间住院患者中8例胼胝体梗死，对其临床资料进行分析。结果8例患者中，男5例，女3例，高血压6例，糖尿病4例，冠心病1例，高同型半胱氨酸血症1例，既往脑梗死2例，短暂性脑缺血发作1例，高脂血症2例，吸烟4例，饮酒3例；临床症状有偏瘫、言语障碍、智能障碍、情感障碍、感觉障碍、二便障碍、失用等；影像学：膝部6例，体部4例，压部1例，膝部合并体部2例；TCD显示均有脑动脉硬化，颅内血管狭窄或闭塞4例，CTA示颈动脉狭窄2例，颈动脉闭塞1例。结论胼胝体梗死临床少见，临床表现复杂多变，病因为脑动脉硬化基础上的血流动力学改变。
Objective To probe the clinical characteristics,medical imaging and clinical diagnose of corpus callosum infarction. Methods The clinical dalas of 8 patients of corpus callosum infarction in hospital from 2010 to 2013 were analyzed and compared by statistics. Results There were 5 male,3 female,6 hypertension,4 diabetes,l coronary artery disease,l high homoeysteie acid,2 infarction history,1 TIA,2 hyperlipoidemia,4 smoking,3 drinking.Clinical symptoms were as followed：hemiparalysis,language disorder,disturbance of intelligenee,affeetive disorder,urine and stool disorder,apraxia. The sites of infarction were showed by imaging as followed： 6 genu,4 body,1 splenium;2 genu and body.All patients were conformed with erehral arteriosclerosis by TCD,4 cranial vascular were showed with stennsis or occlusion. 2 carotid artery stenosis and 1 carotid artery occlusion were showed by CTA, Conclusion Corpus callosum infarction oeeurres less.The clinical symtom is multiple.The etiological factor of the infarction of corpus callosum is hemodynamies change based on cerebral arteriosclerosis.
出处
《中国医药科学》
2013年第6期189-190,共2页
China Medicine And Pharmacy
关键词
胼胝体
梗死
临床症状
影像
Corpus callosum
Infaretion
Clinical symptom
Image
