摘要
目的:凸面蛛网膜下腔出血(c SAH)是一种罕见的卒中亚型,本研究旨在报道c SAH伴缺血性卒中,以提高对该病的认识。方法:报道c SAH伴同侧急性缺血性卒中1例;应用"凸面蛛网膜下腔出血、颅内动脉狭窄、颈动脉狭窄和缺血性中风"等主题词在Pubmed数据库和CNKI数据库纳入另外13例有详细资料的c SAH伴缺血性卒中和(或)大动脉闭塞/狭窄患者。分析其一般状况、临床和影像学特征、发病机制、治疗和预后。结果:共纳入患者14例。男9例,女5例;平均发病年龄为(54.9±10.3)岁;多具有明显的血管危险因素。临床表现以局灶损害体征为主;出血部位以中央沟附近最为常见,且主要发生在血管闭塞或严重狭窄的同侧,抗血小板聚集治疗可能有效,预后好。结论:c SAH伴急性缺血性卒中是一种罕见的临床表现,抗血小板治疗可能有效且预后好。
Objective：Nontraumatic convexal subarachnoid hemorrhage （cSAH） is a relatively rare entity and we would report cSAH cases associated with acute ischemic stroke. Methods： We described 1 patient of cSAH who presented with ipsilateral acute ischemic stroke and identified an additional 13 cases in the Pubmed database and Chinese CNK/database using the MeSH terms eonvexal subarachnoid hemorrhage, intracranial stenosis, carotid stenosis, and ischemic stroke. We analyzed the background characteristics, clinical course, and outcomes of the 14 cases. Results： Fourteen cases were included, 9 male and 5 female cases. The average onset age was （54.9±10.3） years. Patients often presented with transient sensory and/or motor symptoms, whereas headaches typical of sub- arachnoid hemorrhage were rare. There were vascular risk factors in most cases. Predominant site of the cSAH lo- cated in the vicinity of the central sulcus. The cSAH typically showed ipsilateral involvement of severe intracranial stenosis or occlusion. The antiplatelet therapy seemed to be effective and most cases had a good outcome. Conclu- sion： Nontraumatic cSAH concomitant with acute ischemic stroke is an unusuall entity. Antiplatelets may be effec- tive and the overall outcome may be favorable in such patients.
出处
《神经损伤与功能重建》
2015年第4期291-294,共4页
Neural Injury and Functional Reconstruction
基金
国家自然科学基金(No.81300215)
