silent brain infarctions and leuko-araiosis in chinese patients with first-ever acute lacunar strokes沉默的脑梗死和leuko-araiosis在中国首次急性腔隙中风患者.pdfVIP

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silent brain infarctions and leuko-araiosis in chinese patients with first-ever acute lacunar strokes沉默的脑梗死和leuko-araiosis在中国首次急性腔隙中风患者.pdf

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silent brain infarctions and leuko-araiosis in chinese patients with first-ever acute lacunar strokes沉默的脑梗死和leuko-araiosis在中国首次急性腔隙中风患者

J. Biomedical Science and Engineering, 2010, 3, 443-447 JBiSE doi:10.4236/jbise.2010.35061 Published Online May 2010 (http://www.SciRP.org/journal/jbise/). Silent brain infarctions and leuko-araiosis in Chinese patients with first-ever acute lacunar strokes Peterus Thajeb1,2,3,4* 2 5 6 3 , Wen-Yuan Lee , Chung-Hung Shih , Teguh Thajeb , James Davis , Rosanne Harrigan3, Linda Chang3 1Center for Stroke Care and Prevention, Cathay General Hospital Sijhih, Sijhih, Taiwan, China; 2Section of Neurosurgery and Neurology, China Medical University Hospital, Taipei, Taiwan, China; 3Biomedical Science, Graduate Division, John A Burns School of Medicine, University of Hawaii at Manoa, Hawaii, USA; 4Faculty of Medicine, National Yang-Ming University, Taipei, Taiwan, China; 5Institute of Respiratory Therapy, Taipei Medical University, Taipei, Taiwan, China; 6Department of Internal Medicine, Landseed Hospital, Pingjen, Taiwan, China. Email: peterus@; thajebp@ Received 3 January 2010; revised 12 January 2010; accepted 15 January 2010. ABSTRACT MRI; Silent Brain Infarction We report on silent brain infarction (SBI) and leuko- 1. INTRODUCTION araiosis (LA) of 23 patients with clinically diagnosed “first-ever” acute ischemic lacunar stroke. The lacu- Elegant study on 1042 routine autopsied brains by Fisher nar syndromes were pure motor hemiparesis (10), in 1965 [1,2], and data from 2,859 necropsied cases re- pure sensory syndrome (2), ataxic hemiparesis (3), ported by Tuszynski et al. [3] suggest that lacunes occur dysarthria clumsy hand syndrome (3), and sens