摘要
目的探讨无症状性脑梗死(ACI)与血管性痴呆(VD)的关系。方法对1995～2004年有短暂性脑缺血发作(TIA)史或有眩晕、头痛而无明确卒中病史的300例60岁以上的老年人做了 CT 或 MRI 检查,并对68例影像学检查有 ACI 者做了简易智能状态检查(MMSE)和老年认知功能测验。结果做 CT 检查的200例老年人显示有 ACI 者33例(占16.5%),做 MRI 检查的100例显示有 ACI 者35例(占35%),68例 ACI 者中有63例的心理学测验,得分均低于非 ACI 者。结论 ACI 并非无临床症状,只是症状轻微、短暂,ACI 患者绝大多数都有不同程度的认知功能障碍,最终将演变成血管性痴呆。
Objective To study the relationship between asymptomatical cerebral infarction(ACI)and vascular dementia(VD).Methods CT or MRI was used for examining 300 cases who were over 60 years old and experi- enced transient ischmic attack or vertigo and headache without obvious stroke from 1995 to 2004.By the use of ico- nography test,68 cases of ACI were given MMSE and congnitive function measurement.Results Of 200 senile pa- tients who were examined by CT,33 cases had ACI(16.5%);of 100 senile patients who were examined by MRI,35 cases had ACI(35%);of 68 cases who had ACI,psychological measurement score of 63 cases was lower than that of the cases who had not ACI.Conclusion The patients with ACI present slight and transient clinical manifestations. Most of the ACI patients have disorder of cognitive function in varying degrees and at last they will develop vascular dementia.
出处
《神经病学与神经康复学杂志》
2005年第4期203-205,共3页
Journal of Neurology and Neurorehabilitation
关键词
无症状性脑梗死
影像学检查
血管性痴呆
asymptomatical cerebral infarction
iconography
vascular dementia
