桥脑旁正中梗死的临床与磁共振血管成像改变的分析.pdfVIP

·19· 桥脑旁正中梗死的临床与磁共振血管成像 改变的分析 陈汉水童绥君马琪林 【摘要】目的研究桥脑旁正中梗死(PPI)的临床表现及影像改变。方法研究94例于2008年3 月至2009年5月在我科住院的桥脑旁正中梗死的临床表现、影像特点。结果桥脑旁正中梗死是后循 环常见的梗死，MR上可见梗死灶的内侧位于桥脑旁正中、呈类似直线；病灶达桥脑表面，类似楔形， I～IRA显示出基底动脉轻一中度狭窄，临床上主要表现为病变对侧中枢性面瘫及轻中度肢体瘫痪，常伴构 音障碍、头晕、共济失调、偏身感觉障碍等。结论桥脑旁正中梗死发病率比我们所认识到的更为常见， 基底动脉主干IVIItA主要表现为轻-中度狭窄。 【关键词】桥脑旁正中梗死；分支动脉粥样硬化病；磁共振 the oftheclinicaland ire∞RallCe in intrarets Analysischanges mag]tlelic imgiographyparamedlanpontine CttEN First Han-shui，TONGSui-jun，MA俄一z玩DepartmentofNeurology，Thel-lospitalofXiamen，筋z池ed Medical 361003，China Hospitaloffujian University，Xiamen Toevaluate oftheclinicalmanifestationsandblRI features Objective changes radiographic 【Abstract】 ofParamedianinfarcts．Methods48ca鲫ofPPI w屯种involvedinOUr clinieel pontine patient study．whose andmanifestationsandI～IRI featureswereevaluatedbetweent,lareh2008 radiographic and～lay2009．Results Paramedianinfarctwa8oneofmostCOlnlllnoninfarctsinthe showed posteriorcirculatory pontine system．I-IRA main lesionsinthe mildandlower tothe The clinical edge-shaped upper ponsextendingparamedianpontineo feature懈hemi and etat．Conelwion paresis，accompaniedbydysarthri．，vertigo，ataxiahemiparethesia TheParamedianinfarctismorecommonthanwehaveknown．Thefeature,ffMRAinthebasilar pontine artery showed stenosis． (BA)is light-moderate mainly atheromatous l[-efloilance 【Keywords】Paramedianpo