CAJ | 학술논문

目的探讨磁共振弥散加权成像（MRI-DWI）异常的短暂性脑缺血发作（TIA）的临床特点及预后。方法回顾性分析22例MRI-DWI异常的急性期（7天内）颈内动脉系统TIA22例患者（MRI-DWI异常组）的临床资料，与同期22例MRI-DWI正常的急性期（7天内）颈内动脉系统TIA患者（MRI-DWI正常组）进行随机对照研究。结果 MRI-DW异常组发生发作时间≥30分钟、运动功能障碍、失语、TIA再发及进展为急性脑梗死的几率均高于MRI-DWI正常组，P＜0.05。结论 TIA发作时间≥30分钟、临床表现为运动功能障碍、失语者均应予以高度重视，在条件允许下及无MRI禁忌时应常规做MRI-DWI，积极防治，避免TIA再发及进展为急性脑梗死。
목적탐토자공진미산가권성상（MRI-DWI）이상적단잠성뇌결혈발작（TIA）적림상특점급예후。방법회고성분석22례MRI-DWI이상적급성기（7천내）경내동맥계통TIA22례환자（MRI-DWI이상조）적림상자료，여동기22례MRI-DWI정상적급성기（7천내）경내동맥계통TIA환자（MRI-DWI정상조）진행수궤대조연구。결과 MRI-DW이상조발생발작시간≥30분종、운동공능장애、실어、TIA재발급진전위급성뇌경사적궤솔균고우MRI-DWI정상조，P＜0.05。결론 TIA발작시간≥30분종、림상표현위운동공능장애、실어자균응여이고도중시，재조건윤허하급무MRI금기시응상규주MRI-DWI，적겁방치，피면TIA재발급진전위급성뇌경사。
Objective To investigate the characteristics and prognosis of transient ischemic attack(TIA) with abnormal magnetic resonance imaging-diffusion weight imaging(MRI-DWI). Methods The clinical data about 22 internal carotid artery system TIA patients in the acute phasc (in 7 days) with abnormal MRI-DWI was analysed retrospectively, and compared 22 internal carotid artery system TIA patients in the acute phasc (in 7 days) with normal MRI-DWI in the same time. Results Patients with abnormal MRI-DWI have longer symptom duration ≥30 mins,higher rate of dyskinesia, aphasia, TIA happen again and progression into acute cerebral infarction than those with normal MRI-DWI. P <0.05. Conclusions Pay attention to the patients with TIA longer symptom duration ≥30 mins,clinical presents of dyskinesia,aphasia. It is necessary to do MRI-DWI examination for the patients regularly and therapy actively, prevent TIA happen again and progress into acute cerebral infarction.