摘要
Abstract
Objective To observe the imaging characteristics ,TOAST types and risk factors in youth cerebral infarc‐tion.Methods 392 cases with cerebral infarction in young patients were selected as the research objects ,and then the clinical data of the patients were collected when consummating each auxiliary examination. All patients were classified into different types according to the TOAST ,then imaging characteristics and risk factors were analyzed in youth cerebral infarction.Results According to TOAST subtypes :there were 47 cases with large artery atherosclerosis (LAA);16 cases with cardiogenic em‐bolism type (CE);91 cases with small artery occlusion (SAO);39 cases with other causes (OD);199 cases with unknown type (UND). Compared with the age of 18~34 years ,patients in the age of 35~45 years had higher ratio of small artery oc‐clusion (SAO) (P<0.05). The important risk factors of 392 patients included hypertension ,hyperlipidemia ,diabetes ,heart disease ,high homocysteine ,hyperuricemia ,smoking and drinking. Hypertension occupied the highest ratio of 60.2%. Com‐pared with the age of 18~34 years ,patients in the age of 35~45 years had higher ratio of hyperlipidemia (P<0.05). Imaging examination showed that there were 218 cases with basal ganglia infarction ,106 patients with lobar cerebral infarction ,29 cases with cerebellar infarction ,30 patients with brainstem infarction ,169 cases with multiple cerebral infarction ,93 patients with lacunar infarction ,6 patients with moyamoya disease by cerebral angiography examination in 57 cases.Conclusion Young a‐dults with cerebral infarction have clinical and imaging characteristics. Hypertension and hyperlipidemia are the most common risk factors.关键词
脑梗死/青年/TOAST分型/影像学/危险因素Key words
Cerebral infarction/Youth/TOAST typing/Imaging/Risk factors分类
医药卫生
