中国卒中杂志2012，Vol.7Issue(7)：531-536,6.
烟雾病患者微栓子信号与临床表现及梗死灶关系的初步观察
Microembolic Signals in Patients with Moyamoya Disease:Relationship with Clinical Manifestation and Infarctions
陈洁 1高山 1胡英环1
作者信息
- 1. 100730北京 中国医学科学院北京协和医学院北京协和医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the relationship between the microembolic signals(MESs) and the clinical
manifestation and infarctions in patients with Moyamoya disease.
Methods We reviewed 6 patients with Moyamoya disease in whom MESs was present during
transcranial Doppler(TCD) test, to investigate the relationship between the MESs and the clinical
manifestation and the distribution of infarctions on diffusion-weighted imaging(DWI).
Results MES was present in the middle cerebral artery(MCA), 3(50%) of which are stenosis and
others are occlusive. Among the 6 patients, 5(83.33%) patients had recent clinical symptoms,
3(50%) patients with symptoms compatible with ischemia in the MCA territory without MESs,
1(16.67%) patient with symptoms in MCA territory with and without MESs, and 1(16.67%) patient
with symptoms in the posterior circulation. From DWI, 5/6(83.33%) patients showed infarctions,
4(66.67%) patients showed infarctions in the MCA territory with MESs, and 5(83.33%) patients
showed infarctions in the MCA territory without MESs. All the patients had multiple infarcts.
Cortical infarcts were the most common.
Conclusion MES can be detected in patients with Moyamoya disease, with or without recent symptoms.
The relationship between MES and clinical manifestation and infarctions needs further study.
关键词
烟雾病/栓塞/微栓子信号/脑梗死Key words
Moyamoya disease/ Embolism/ Microembolic signals/ Cerebral ischemia
引用本文复制引用
陈洁,高山,胡英环..烟雾病患者微栓子信号与临床表现及梗死灶关系的初步观察[J].中国卒中杂志,2012,7(7):531-536,6.
