期刊文献+

大脑中动脉粥样硬化性脑梗死患者多模态磁共振成像及临床特征研究 被引量:2

Multimodel MRI and clinical features of patients with middle cerebral arteriosclerotic infarction
下载PDF
导出
摘要 目的探讨大脑中动脉粥样硬化性脑梗死患者多模态MRI特点和临床特征及其可能的发病机制。方法选取大脑中动脉粥样硬化性脑梗死患者60例,全部病例均经头颅MRI及磁共振血管造影术证实为单侧大脑中动脉粥样硬化性狭窄或闭塞,并根据MRI脑梗死灶特征进行梗死分型。结果深穿支梗死患者20例中,单发梗死14例,多发梗死6例;皮质支梗死患者14例中,单发梗死8例,多发梗死6例;分水岭梗死患者26例中,单发梗死12例,多发梗死14例。结论大脑中动脉粥样硬化性脑梗死多模态MRI患者中,以分水岭梗死最常见,其次为深穿支梗死和皮质梗死。 Objective To study the characteristics of multimodal MRI and clinical features of pa tients with middle cerebral arteriosclerotic infarction and its possible pathogenesis. Methods Six ty middle cerebral arteriosclerotic patients with middle cerebral arteriosclerotic infarction established as unilateral cerebral arteriosclerotic stenosis or occlusion by transcraniat MRI and MR angiography were included in this study. Their cerebral infarction was calssified according to the characteristics of MRI. Results Of the 20 patients with deep branch infarction,14 were diagnosed with single infarction and 6 were diagnosed with multiple infarction. Of the 14 patients with corti- cal branch infarction,8 were diagnosed with single infarction and 6 were diagnosed with multiple infarction. Of the 26 patients with watershed infarction, 6 were diagnosed with single infarction and 14 were diagnosed with multiple infarction. Conclusion Watershed infarction occurs most frequently followed by deep branch infarction and cortical branch infarction in patients with mid- dle cerebral arteriosclerotic infarction.
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2013年第8期849-851,共3页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词 梗死 大脑中动脉 磁共振成像 动脉粥样硬化 高血压 高脂血症 高同种半胱氨酸血症 C反应蛋白质 infarction, middle cerebral artery magnetic resonance imaging atherosclerosis hypertension hyperlipidemias hyperhomocysteinemia C reactive protein
  • 相关文献

参考文献7

  • 1高山,黄家星,黄一宁,李舜伟.动脉粥样硬化性大脑中动脉狭窄梗死的发病机制[J].中华神经科杂志,2003,36(2):155-157. 被引量:97
  • 2杨正汉,冯逢,王霄英.磁共振成像技术指南-检查规范.临床策略新技术应用(修订版).北京:人民军医出版社,2010.20-36.
  • 3Fisher M,Paganini H, Martin A, et al. Carotid plaque patholo- gy: thrombosis, ulceration, and stroke pathogenesis. Stroke, 2010,36:253- 257.
  • 4Kern R, Steinke W, Daffertshofer M, et al. Stroke recurrences in patients with symptomatic vs asymptomatic middle cerebral artery disease. Neurology, 2010,65 : 859 -864.
  • 5Gotoh F, Tohgi H, Hirai S, et al. Cilostazol stroke prevention study:a placebo controlled doubl blind trial for secondary pre- vention of cerebral infaction. Stroke Cerebrovasc Dis, 2010,9: 11 -23.
  • 6Chimowitz MI, I.ynn MJ, Derdeyn CP, et al. Stenting versus aggressive medical therapy for intracranial arterial stenosis. N Engl J Med,2011,365:993- 1003.
  • 7Garcia Rodriguez LA,Lin KJ, Hernandez Diaz S, et al. Risk of upper gastrointestinal bleeding with low dose acetylsalicylic acid alone and in combination with clopidogrel and other medi- cation. Circulation,2012,123 : 1108-1115.

共引文献96

同被引文献19

引证文献2

二级引证文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部