浙江医学Issue(10)：878-880,3.
大脑前动脉区域脑梗死解剖模式、临床表现及预后的研究
Lesion pattern, clinical features and prognosis in patients with anterior cerebral artery territory stroke
摘要
Abstract
Objective To investigate the clinical features, lesion pattern and prognosis of patients with anterior cerebral artery (ACA) territory stroke. Methods Eighty patients with acute ischemic stroke in ACA territory confirmed by MRI were admit-ted from 2009 to 2012, the patients were followed up for 3 months. The demographics, risk factors, clinical features, laboratory and neuroimaging data of patients were analyzed. Results Motor deficit was the most common symptom accounting for 93.75%,especial y in the lower extremity. Corpus cal osum was most frequently involved accounting for 72.5%. The presence of atherosclerosis infarction accounted for 72.5%,among which stenosis of ACA atherosclerosis was 84.4%. The presence of car-dioembolic infarction was only 12.5%. The patients were classified into good prognosis group (68 patients) and poor prognosis group(12 patients) according to the NDS score after 3-months fol ow-up. Two patients died within three months with an in-mor-tality rate of 2.5%. Multivariate logistics regression analysis demonstrated that both the baseline NDS and supplementary motor area(SMA) involved were independent risk factors for poor outcome. Conclusions Patients with infarcts in the ACA territory gen-eral y have a favorable outcome, except having the high baseline NDS score or supplementary motor area involved.关键词
大脑前动脉/脑梗死/临床表现/预后Key words
Anterior cerebral artery/Brain infarction/Clinical feature/Outcome引用本文复制引用
陈晓丽,王汉旻,张旭,金得辛,夏君慧..大脑前动脉区域脑梗死解剖模式、临床表现及预后的研究[J].浙江医学,2013,(10):878-880,3.基金项目
温州市科技计划资助项目 （）
