CAJ | 학술논문

目的:探讨表现为假性蛛网膜下腔出血的急性脑梗死的原因.方法:收治急性脑梗死患者8例,分析临床表现及影像学表现.结果:右侧偏瘫及失语3例,左侧偏瘫3例,视野异常2例.头颅MRI显示急性脑梗死8例,左侧额叶3例,其中2例合并皮层下分水岭梗死,右侧额叶3例,均合并皮层下分水岭梗死,右侧枕叶2例, MRA提示脑血管狭窄、闭塞5例,左侧大脑中动脉重度狭窄2例,右侧大脑中动脉闭塞2例,右侧大脑中动脉重度狭窄1例.结论:急性大脑皮层梗死早期因代偿脑膜支血流缓慢,易在CT表现为假性蛛网膜下腔出血.
목적:탐토표현위가성주망막하강출혈적급성뇌경사적원인.방법:수치급성뇌경사환자8례,분석림상표현급영상학표현.결과:우측편탄급실어3례,좌측편탄3례,시야이상2례.두로MRI현시급성뇌경사8례,좌측액협3례,기중2례합병피층하분수령경사,우측액협3례,균합병피층하분수령경사,우측침협2례, MRA제시뇌혈관협착、폐새5례,좌측대뇌중동맥중도협착2례,우측대뇌중동맥폐새2례,우측대뇌중동맥중도협착1례.결론:급성대뇌피층경사조기인대상뇌막지혈류완만,역재CT표현위가성주망막하강출혈.
Objective:To explore the manifestations of acute cerebral pseudo subarachnoid hemorrhage causes.Methods:8 patients with acute cerebral infarction were selected,analysis of clinical manifestation and imaging performance.Results:On the right side of 3 cases of hemiplegia and aphasia,3 cases of left hemiplegia,2 cases of abnormal visual field.Brain MRI showed acute cerebral infarction in 8 cases,left frontal lobe in 3 cases,2 cases with cerebral watershed infarction,right frontal lobe in 3 cases,2 cases of right occipital lobe,5 cases of cerebral artery stenosis,2 cases of left middle cerebral artery stenosis,2 cases of right middle cerebral artery occlusion,right middle cerebral artery stenosis in 1 cases.Conclusion:Acute cortical infarction due to compensatory meningeal branch blood flow is slow,easy to show in CT as a pseudo subarachnoid hemorrhage.