CAJ | 학술논문

目的：提高临床医生对Percheron动脉梗死的认识和诊断水平。方法：收治Percheron动脉梗死患者15例，回顾性分析其临床资料。结果：临床表现为意识障碍、记忆障碍伴定向障碍、丘脑性失语、眼球下视麻痹；颅脑MR均显示双侧丘脑梗死灶，4例可见中脑“V字征”。以栓塞为主要发病机制。3个月后随访3例完全恢复，2例死亡，2例仍意识障碍，其他均遗留有神经功能缺损。结论：Percheron动脉梗死主要表现为意识障碍、垂直注视麻痹、丘脑性失语、记忆缺损等，脑CT/MRI检查提示双侧丘脑伴或不伴中脑梗死。颅脑MRI出现“中脑V字征”对Percheron动脉综合征有重要的提示意义。本病主要按缺血性脑血管病治疗，预后较差。
목적：제고림상의생대Percheron동맥경사적인식화진단수평。방법：수치Percheron동맥경사환자15례，회고성분석기림상자료。결과：림상표현위의식장애、기억장애반정향장애、구뇌성실어、안구하시마비；로뇌MR균현시쌍측구뇌경사조，4례가견중뇌“V자정”。이전새위주요발병궤제。3개월후수방3례완전회복，2례사망，2례잉의식장애，기타균유류유신경공능결손。결론：Percheron동맥경사주요표현위의식장애、수직주시마비、구뇌성실어、기억결손등，뇌CT/MRI검사제시쌍측구뇌반혹불반중뇌경사。로뇌MRI출현“중뇌V자정”대Percheron동맥종합정유중요적제시의의。본병주요안결혈성뇌혈관병치료，예후교차。
Objective:To improve the understanding and diagnosis of clinician for Percheron artery infarction.Methods:15 patients with Percheron artery infarction were selected,and the clinical data were retrospectively analyzed.Results:The clinical manifestations were consciousness disorder,memory disorder with disorientation,thalamic aphasia,ocular paralysis.Brain MR showed bilateral thalamic infarction foci,4 cases had midbrain "V sign".Embolism was the main pathogenesis.After 3 months of follow-up,3 cases recovered completely,2 cases died,2 cases still were unconscious,neurological deficits of others were left. Conclusion:The main manifestations of Percheron artery infarction were disturbance of consciousness,vertical gaze palsy,thalamic aphasia,memory defects and so on.The cerebral CT/MRI examination indicated that bilateral thalamus had infarction with or without cerebral infarction.Brain MRI with "V sign" had important significance for the Percheron artery syndrome.The disease was treated mainly according to the treatment of ischemic cerebrovascular disease,and the prognosis was poor.