临床神经病学杂志2013，Vol.26Issue(2)：98-101,4.
成年人烟雾病的卒中类型、部位及脑血管病变、侧支循环代偿的研究
Investigation of stroke types, localizations and cerebrovescular lesion, collateral circulation compensation in adult moyamoya disease
马召玺 1王万华 1张炎 1王红洲 1曹勇军 2赵合庆2
作者信息
- 1. 215300 昆山第一人民医院神经内科
- 2. 苏州大学附属第二医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the stroke types, localizations and cerebrovescular lesion and collateral circulation compensation in adult moyamoya disease (MMD). Methods The clinical data of 41 patients with MMD were analyzed retrospectively. Results In all 41 patients, 25 cases (61% ) were cerebral hemorrhagic stroke (CHS) and 16 cases (39% ) were cerebral ischemic stroke (CIS). The ratio of stroke localizations on ventricle or around (based ganglia region) in CHS patients (64%) was significantly higher than that in CIS patients (25%) (P< 0. 05 ). The ratio of stroke localizations on cortical or subcortex zone in CIS patients (75 % ) was significantly higher than that in CHS patients ( 12% ) ( P < 0. 01 ). There were 82 branches of vascular lesions confirmed by cerebral digital subtraction angiography, and the ratio of vascular lesions in internal carotid artery (76. 8% ) was significantly higher than in middle cerebral artery (17. 1% ) and in anterior cerebral artery (6. 1% ) (all P <0. 05) . The ratio of collateral circulation of deep perforating branch (78 branches,95. 1% ) , Willis circle (51 branches, 62. 2% ) , meningeal branch ( 62 branches ,75. 6% ) , corpus callosum posterior artery (50 branches ,61. 0% ) were significantly higher than ophthalmic artery (19 branches 23. 1% ) and middle meningeal artery (9 branches 10.9%) ( all P < 0. 01). The difference of vascular lesions and lateral branch compensation between CHS patients and CIS patients were no statistical significance. The ratios of stage V and VI of Suzuki grades in CIS patients were significantly higher than that in CHS group (all P < 0. 05 ). Conclusions CHS is multiple in adult MMD patients and hemorrhagic localizations are most in ventricle or periventricular zones. Cortical and subcortical zones are mainly stroke localizations in CIS patients. The mainly collateral circulations are include deep perforating branch, Willis circle, meningeal branch and corpus callosum posterior artery.关键词
烟雾病/卒中类型/卒中部位/侧支循环代偿Key words
moyamoya disease/stroke type/stroke localization/collateral circulation compensation分类
医药卫生引用本文复制引用
马召玺,王万华,张炎,王红洲,曹勇军,赵合庆..成年人烟雾病的卒中类型、部位及脑血管病变、侧支循环代偿的研究[J].临床神经病学杂志,2013,26(2):98-101,4.
