CAJ | 학술논문

无症状性脑梗塞是指临床症状轻微或一过性易被忽略,或只有神经系统症状体征,影像学上见到非责任病灶.危险因素与症状性脑梗塞一致.可能影响急性脑卒中的病程、临床表现和预后,是症状性脑梗塞的预兆,可能发展为假性球麻痹、多发梗塞性痴呆.所以对患高血压病或糖尿病的老年人,如发生眩晕、头痛、语言障碍等症状,虽未发现明显体征,也应及时作颅脑CT 或MRI 检查,以早发现、早治疗.其治疗方案除恢复期缺血性脑血管病的治疗方法外,主要是采用脑卒中二级或三级预防措施.另外,补充维生素B_6、B_(12)及叶酸可以降低高同型半胱氨酸血症性缺血性脑血管病的发生.以头痛为首发症状的无症状性脑梗塞脱水剂治疗无效反而加重,加用镁剂后效果明显.
무증상성뇌경새시지림상증상경미혹일과성역피홀략,혹지유신경계통증상체정,영상학상견도비책임병조.위험인소여증상성뇌경새일치.가능영향급성뇌졸중적병정、림상표현화예후,시증상성뇌경새적예조,가능발전위가성구마비、다발경새성치태.소이대환고혈압병혹당뇨병적노년인,여발생현훈、두통、어언장애등증상,수미발현명현체정,야응급시작로뇌CT 혹MRI 검사,이조발현、조치료.기치료방안제회복기결혈성뇌혈관병적치료방법외,주요시채용뇌졸중이급혹삼급예방조시.령외,보충유생소B_6、B_(12)급협산가이강저고동형반광안산혈증성결혈성뇌혈관병적발생.이두통위수발증상적무증상성뇌경새탈수제치료무효반이가중,가용미제후효과명현.
The silent cerebral infarct is an clinic symptom that is so slight or transitory as to be easily neglected. There are only neural symptoms and signs,but irresponsible infarct focus can be seen on image. The risk factors of silent cerebral infarct may be the same as those of symptomatic cerebral infarct. Such infarct is likely to influence the course, clinic symptom and prognosis of acute cerebral infarct and may foretell symptomatic cerebral infarct and deteriorate into pseudo-global paralysis or multi-infarcted dementia. Therefore elder who suffer from hypertension or diabetes and experience vertigo, headache, language barrier but without apparent signs and symptoms should receive cerebral CT or MRI. Minor or third-degree precautionary measures can be taken as a chief therapy for cerebral infarct. Alternatively vitamines B_6,B_(12) and folic acid can be supplied to reduce the chance of hyperhomocysteinemia. Headache is the initial symptom in silent brain infarct. Magnesium is effective when dehydration does not work.