脑干梗死46例床与mri研究.pdfVIP

·中文论著摘要· 脑干梗死46例临床与MRI研究 ． 目 的 总结46例患者的临床症状和体征，分析脑干梗死部位与I临床表现及神经功能 缺损的关系；详细探讨特殊类型脑干梗死的临床表现及影像学特点。 方法 回顾性分析46例脑干梗死患者的临床表现，分析纳入患者的MRI影像资料， 记录脑干梗死灶的部位，将脑干划分为中脑、脑桥、延髓三个主要方面进行研究， 结合本组患者MRI结果对梗死病灶进行定位，讨论病灶部位与临床表现的关系。 结果 46例患者中急性起病32例，进展性起病14例。经颅脑MRl检查，梗死灶位 于脑桥33例，延髓5例，中脑4例，延髓和脑桥同时受累3例，中脑和脑桥同时 受累1例。脑桥基底部是脑干梗死的最常见部位，眩晕是脑干梗死最常见的症状， 临床上典型的交叉性表现及经典综合征并不多见，颅脑MRI检查有助于确定临床 与解剖的关系。 结论 脑干梗死的临床表现复杂多样，脑干内梗死灶较小的差异即可引起明显不同 的临床症状和体征。临床上典型的交叉性表现及经典综合征并不多见。CT扫描阳 性率低，对怀疑脑干病变的应及时查颅脑MRI，以便明确诊断，及时治疗，防止 病情加重。 关键词 脑干梗死，l隘床表现，头颅MRI ·英文论著摘要· ‘ ManifestationandMlU Clinical of46Cases Analysis withBrainStem Infarction objective Tosummarizetheclinical and to the symptomssigns，and analysisrelationship bctwemaclinicalmanifestationoflesionsand the ne珊oloocimpairment；Toinvestigate clinical and featuresof brain manifestation of steminfarction． imaging specialtypes Methods Clinicalmanifestationofthe46caseswithbrainsteminfarctionwerereviewed the data ofthe andrecordlesionsofbrain retrospectively,toanalysisimage patients stem stemisdividedintothree whichare and infarction,brain parts midbrain,pom medulla theMRIcanlocatethe resultsof infarctionlesionsofthese oblongata,the and the betweentheclinicmanifestationandlesions patientsanalysisrelatiomhip of infarction． Results Inthe46 caseshaveacute othercases c鹤es，32 onste，and14 have progressive onste．HeadMRIexaminationshowsthatlesionslocatedin arc33 pons ea．∞s，lesiom in locatedin locatedmedulla arc5cases，lesionsmidbrainare4cases，lesions oblongata bothlocatedinmedulla and are lesionsbothlocatedin oblongatapons3cases，and arcl of isthe midbrainand c娥．Basilar mostcommonsitusofbrain ports partpons stem isthemostcommon ofbrainstem the infarction．verti90 symptom infarction,and and arc deeussatemanifestation found MRI typical syndromesrarely clinically．Head conduc圮stodeterminethe betweenclinicand relationship anatomy． Conclusion 111e manifestationsof steminfarction clinical brain are small complicated,The 2 differentclinical and les