中国实用神经疾病杂志2018，Vol.21Issue(1)：26-29,4.DOI:10.12083/SYSJ.2018.01.006
急性丘脑梗死116例临床分析
Acute thalamic infarction :clinical analysis of 116 cases
摘要
Abstract
Objective To explore the relationships between the vascular supply of thalamic infarcts ,etiology ,clinical mani-festation and prognosis .Methods We observed 116 acute thalamic infarctions and analyzed vascular supply ,TOAST classification ,nerve system signs and neurological function recovery .Results 116 acute thalamic infarctions patients were divided into 2 groups according to DWI patterns :isolated thalamic infarcts group (79.3％ ) and combined thalamic infarcts group (20.7％ ) .The patients were also divided 4 groups according to etiology based on TOAST classification :Large Artery Atheroscle-rosis (LAA 12.1％ ) ,Cardiac Embolism (CE 15.5％ ) ,Small Vessel Occlusion (SVO 60.3％ ) ,other cause or no etiology identified (NA 12.1％ ) .In all cases of isolated thalamic infarction ,they are inferolateral artery territory (75％ ) ,tuberothalamic artery terri-tory (10.9％ ) ,posterior choroidal artery territory (11.9％ ) ,paramedian artery territory (2.2％ );the clinical features are as fol-lows :hemisensory loss ,hemiplegia ,thalamus pain and ataxia ;level of consciousness change ,cognitive dysfunction ,personality change;sensory disorders ,visual field defect ;consciousness disorders ,ocular motility disorders ,mental and behavior disorder .MRS scores of 90d after onset was distinctly decrease than admission in inferolateral artery ,tuberothalamic artery and posterior choroidal artery territory groups(P<0.01) ,paramedian artery territory group had the worst mRS score .Conclusion Thalamic in-farction is mainly due to small artery occlusion .Inferolateral territory was more prevalent in isolated thalamic infarct and its main clinical symptoms are loss of sensation and hemiplegia .The prognosis in paramedian artery territory is bad .关键词
丘脑/梗死/临床表现/病因/磁共振成像/预后Key words
Thalamic/Infarction/Clinical manifestation/Etiology/MRI/Prognosis分类
医药卫生引用本文复制引用
王天红,张艳利,陈军,谷有全,周超宁..急性丘脑梗死116例临床分析[J].中国实用神经疾病杂志,2018,21(1):26-29,4.基金项目
甘肃省自然科学基金(编号 :1506RJZA259) （编号 :1506RJZA259）
