摘要
Abstract
Objective This study mainly aimed at exploring risk factors and distribution characteristics of acute lacunar infarction(ALI)accompanied with intracranial vascular stenosis in youth ,in order to provide scientific bases for precautions and treatments .Methods All of 40 young ALI cases with the age of 18-45 years old in neurology department who underwent brain MRI ,MRA and carotid duplex ultrasound and blood lipid examination were selected and were divided into intracranial arterial stenosis group and non-stenosis group according to brain MRA outcomes .Finally ,statistical analysis of the observed indices was performed .Results Of the 40 young ALI cases ,there were 22 cases in stenosis group and 18 cases in non-stenosis group . Compared with non-stenosis group ,the stenosis group showed statistically significant differences in triglyceride ,low-density cholesterol levels and formation of carotid plaques (P<0.05) ,but not in smoking ,drinking ,high blood pressure ,uric acid ,fast‐ing blood glucose ,high cholesterol and high-density lipoprotein cholesterol(P>0.05) .The stenosis group presented 15 cases with simple vascular stenosis and 7 cases with multiple stenosis ,and no statistical difference was found in risk factors between simple and multiple vascular stemosis .In the stenosis group simple anterior circulation stenosis occurred in 13 cases and pure posterior circulation stenosis occurred in 7 cases ,which showed no statistical differnces in risk factors (P>0.05) .Conclusion Lacunar infarction complicated with intracranial artery stenosis in youth can be more common than that without artery stemo ‐sis .Triglyceride ,low-density cholesterol levels and formation of carotid plaques in stenosis group are significantly higher than those in non-stenosis group .Risk factors between simple and multiple vascular stemosis groups cannot be different .Intracranial artery stenosis often occurs in the anterior circulation ,and simple anterior and posterior circulations show no differences in vas‐cular risk factors .关键词
青年/急性脑梗死/颅内血管/狭窄危险因素Key words
Youth/Acute cerebral infarction/Intracvanial vascular stenosis/Risk factors分类
医药卫生
