CAJ | 학술논문

目的了解后循环梗死常见临床症状、体征及特征性表现.方法回顾性分析2004-2006年在我院神经内科住院的急性后循环梗死且资料完整的216例资料.所有患者在入院时均接受头颅MRI检查,证实在后循环供血区存在责任病灶.总结患者的临床症状和体征,分析后循环临床表现的特征及与病灶部位的关系.结果患者常见的症状为偏侧肢体无力(81.9%)、口齿含糊(46.3%)、头晕(33.8%)、偏侧麻木(31.0%);最常见的体征足偏侧运动障碍(81.9%)、中枢性面舌瘫(61.1%)、构音障碍(46.3%)、偏侧感觉障碍(31.0%)及共济失调(30.1%);交叉性瘫痪发生率低(2.8%),单独的眩晕极少(1.4%);延髓麻痹、意识障碍、视力障碍及记忆障碍等症状有助于定位;经典的脑干综合征具有定位意义.结论后循环梗夕匕临床表现复杂多变,特征性临床表现和临床综合征有助于后循环梗死的诊断.
목적 료해후순배경사상견림상증상、체정급특정성표현.방법 회고성분석2004-2006년재아원신경내과주원적급성후순배경사차자료완정적216례자료.소유환자재입원시균접수두로MRI검사,증실재후순배공혈구존재책임병조.총결환자적림상증상화체정,분석후순배림상표현적특정급여병조부위적관계.결과 환자상견적증상위편측지체무력(81.9%)、구치함호(46.3%)、두훈(33.8%)、편측마목(31.0%);최상견적체정족편측운동장애(81.9%)、중추성면설탄(61.1%)、구음장애(46.3%)、편측감각장애(31.0%)급공제실조(30.1%);교차성탄탄발생솔저(2.8%),단독적현훈겁소(1.4%);연수마비、의식장애、시력장애급기억장애등증상유조우정위;경전적뇌간종합정구유정위의의.결론 후순배경석비림상표현복잡다변,특정성림상표현화림상종합정유조우후순배경사적진단.
objective To describe the clinical features of patients with posterior circulation ischemic stroke.Methods 216 patients with posterior circulation ischemic stroke admitted in our department during 2004-2006 were analyzed retrospectively.All patients were undertaken MRI on admission and responsble lesions were identified at the posterior circulation territories.The patients'clinical symptoms and signs were evaluated and the relationships between lesion locations and clinical characteristics were analyzed.Results The common symptoms of posterior circulation ischemic stroke were unilateral limb Weakness(81.9%),speech difficulty(46.3%),dizziness(33.8%),and unilateral limb numbness (31.O%).The common signs of posterior circulation ischemic stroke were unilateral limb weakness (81.9%),central facial or lingual palsy(61.1%),dysarthria(46.3%),unilateral limb sensory loss (31.0%),and ataxia(30.1%).The incidence of crossed paralysis was low(2.8%).Isolated vertigo was rare (1.4%).Predominant clinical features such as bulbar paralysis,unconsciousness,visual disorder and amnesia can help to localize the lesions.Typical brainstem syndromes had topographic meanings.Conclusions The clinical features of patients with posterior circulation ischemic stroke were complex.Predominant symptoms can help to diagnose the posterior circulation ischemic stroke.