CAJ | 학술논문

目的:评估MRI等神经影像学和神经功能学评定在预警急性腔隙性脑梗死进行性恶化发展中的作用.方法:回顾性调查发病48 h内入院的61例幕上腔隙性脑梗死患者.进展性脑梗死(progressive-type stroke,PS)定义为用美国国立卫生院卒中量表(NIHSS)评分法确定的发病7 d内,运动功能进行性加重的腔隙性脑梗死.结果:16例(26%)患者为PS组.与非PS组相比,PS组波动性或进展性方式发病的比例分别为81%,42%(P=0.009),以下肢为主的运动功能障碍发生率分别为63%,16%(P=0.001),弥散加权MRI显示的放射冠区梗死灶检出率分别为100%,69%(P=0.013),均有显著地增高.结论:MRI结合神经功能评定不仅能很好预示急性腔隙性脑梗死可能进行性发展加重,而且可以帮助临床医生更好地防治进展性腔隙性脑梗死的发生和发展.
목적:평고MRI등신경영상학화신경공능학평정재예경급성강극성뇌경사진행성악화발전중적작용.방법:회고성조사발병48 h내입원적61례막상강극성뇌경사환자.진전성뇌경사(progressive-type stroke,PS)정의위용미국국립위생원졸중량표(NIHSS)평분법학정적발병7 d내,운동공능진행성가중적강극성뇌경사.결과:16례(26%)환자위PS조.여비PS조상비,PS조파동성혹진전성방식발병적비례분별위81%,42%(P=0.009),이하지위주적운동공능장애발생솔분별위63%,16%(P=0.001),미산가권MRI현시적방사관구경사조검출솔분별위100%,69%(P=0.013),균유현저지증고.결론:MRI결합신경공능평정불부능흔호예시급성강극성뇌경사가능진행성발전가중,이차가이방조림상의생경호지방치진전성강극성뇌경사적발생화발전.
Objective: To find the role of MRI neural imaging and neurological to predict acute lacunar infarctions. Meth-ods: Retrospective investigation of 61 patients with supratentorial lacunar infarct, who were admitted within 48 hours. Pro-gressive-type stroke (PS)was defined as progressive motor deficits that arose within 7 days after onset, by using the motor ratings of the National Institutes of Health Stroke Scale. Results: 16 patients(26%)were classified into the PS group. Com-pare with the non-PS group, fluctuating or progressing onset were 81% and 42%(P=0.009), leg-predominant motor deficits on admission were 63% and 16% (P= 0.001) and corona radiata lesion on diffusion-weighted MRI were 100% and 69%(P= 0.013), PS were more frequent than the non-PS group. Conclusion: Neurological assessment and MRI can help us to pre-dict PS and start early intensive treatment for preventing further neurological deterioration.