脑小血管病课件篇.pptVIP

Clinical presentation Symptoms can vary depending on the distribution of haemosiderin deposition. Common symptoms include:?2-5 sensorineural hearing loss most common, found in ~ 95% of patients bilateral and gradual cerebellar dysfunction (ataxia): ~ 88% pyramidal signs: ~ 76% other less common findings include: dementia bladder incontinence other cranial nerve dysfunction sensory deficits 5，皮质浅表铁质沉着症 (cortical superficial siderosis, CSS) * 九、脑小血管病的防治 * CSVD预防 虽然专门针对CSVD患者的卒中二级预防的试验证据很少,但临床经验及多项临床试验的亚组分析显示,依然需要采取降压?抗栓和他汀类药物为主的干预措施? 高血压是CSVD的最重要危险因素,降压治疗能有效预防卒中复发及认知功能衰退?对脑梗死患者,无论有无高血