国际脑血管病杂志
國際腦血管病雜誌
국제뇌혈관병잡지
INTERNATIONAL JOURNAL OF CEREBROVASCULAR DISEASES
2013年
12期
928-932
,共5页
脑缺血发作,短暂性%内囊%颅内动脉硬化%卒中,腔隙%脑血管循环
腦缺血髮作,短暫性%內囊%顱內動脈硬化%卒中,腔隙%腦血管循環
뇌결혈발작,단잠성%내낭%로내동맥경화%졸중,강극%뇌혈관순배
Ischemic Attack,Transient%Internal Capsule%Intracranial Arteriosclerosis%Stroke,Lacunar%Cerebrovascular Circulation
内囊预警综合征是一组具有高危脑梗死转化特点的频发刻板样短暂性脑缺血发作亚型,颅内外大血管多无狭窄,主要发病机制为穿支动脉自身病变引起的供血区阵发性低灌注,梗死灶多位于内囊,亦可出现于脑桥,传统抗栓治疗效果不佳,联合抗血小板、溶栓、血管内介入、抗癫癎等治疗对部分患者可能有效.
內囊預警綜閤徵是一組具有高危腦梗死轉化特點的頻髮刻闆樣短暫性腦缺血髮作亞型,顱內外大血管多無狹窄,主要髮病機製為穿支動脈自身病變引起的供血區陣髮性低灌註,梗死竈多位于內囊,亦可齣現于腦橋,傳統抗栓治療效果不佳,聯閤抗血小闆、溶栓、血管內介入、抗癲癎等治療對部分患者可能有效.
내낭예경종합정시일조구유고위뇌경사전화특점적빈발각판양단잠성뇌결혈발작아형,로내외대혈관다무협착,주요발병궤제위천지동맥자신병변인기적공혈구진발성저관주,경사조다위우내낭,역가출현우뇌교,전통항전치료효과불가,연합항혈소판、용전、혈관내개입、항전간등치료대부분환자가능유효.
Capsular warning syndrome (CWS) is a subtype of recurrent stereotyped transient ischemic attacks that heralds a subsequent stroke.The mainly presumed mechanism is repeated bursts of ischemia in the region of penetrating arteries,since the structural changes of large arteries is rare in series of imaging examinations.The majority of the infarct is located in the internal capsule or pontine.CWS is usually therapeutically resistant to simple traditional antithrombotic treatment,while combined antiplatelet treatment,thrombolysis,endovascular intervention and antiepileptics may protect part of the patients from developing into permanent infarcts.