山西医科大学学报2017，Vol.48Issue(4)：382-385,4.DOI:10.13753/j.issn.1007-6611.2017.04.018
临床表现有惊厥的新生儿脑梗死16例分析
Analysis of cere bral infarction in 16 newborn infants with seizures
王成虎 1刘克战 1张新华 1李海 1曹东连2
作者信息
- 1. 山西省儿童医院新生儿内科,太原 030002
- 2. 山西省临县人民医院
- 折叠
摘要
Abstract
Objective To explore the possible etiology,clinical characteristics and prognosis of neonatal cerebral infarction.Methods Sixteen cerebral infarction neonates with seizures were retrospectively analyzed in our neonatal department from June 2011 to June 2015,including the etiology,clinical manifestations and imaging features and the follow-up data of some infants.Results Sixteen newborn infants with cerebral infarction were full term,13 cases(81%) were G1P1,and 9(56%) had fetal distress.The seizure episodes in 10 cases(62.5%) of neonates were multifocal clonic seizure,and the average onset time of postpartum seizures was (56.18± 90.69)h.MRI results of 16 cases showed that 12 cases of cerebral infarct involved in the left side of the brain hemisphere.During the follow-up,three out of 10 cases had poor prognosis with brain infarction involving in three or more than three parts in frontal,top,occipital lobe,internal capsule,basal ganglia,callosum,thalamus in their cranial MRI.Conclusion Perinatal hypoxia may play an important role in the pathogenesis of neonatal cerebral infarction.Seizure is a common clinical manifestation,and the multifocal clonic seizure is the main form.Left cerebral hemisphere infarction is the common imaging findings of cranial MRI.Those patients with multifocal involvement of cerebral infarction could have poor prognosis.关键词
脑梗死/新生儿/惊厥/磁共振成像/预后Key words
cerebral infarction/newborn/convulsion/magnetic resonance imaging(MRI)/prognosis分类
医药卫生引用本文复制引用
王成虎,刘克战,张新华,李海,曹东连..临床表现有惊厥的新生儿脑梗死16例分析[J].山西医科大学学报,2017,48(4):382-385,4.
