临床神经病学杂志2018，Vol.31Issue(6)：418-421,4.
扩展版NIHSS对NIHSS评分0分延髓梗死的评估价值
Evaluation value of extended NIHSS on medullary infarction with NIHSS score＝0
摘要
Abstract
Objective To study the value of expanded-NIHSS (e-NIHSS)in evaluating the neurological signs of medullary infarction with Zero score on the NIHSS.Methods Patients with primary medullary infarction proved by Magnetic Resonance imaging were enrolled in this study,which were Zero score on the NIHSS. Risk factors of stroke, clinical presentation,neurological signs,imaging performance and e-NIHSS score were recorded. Results Nine patients were enrolled in this study. Risk factors of stroke were hypertension (7,77.78%),diabetes mellitus (4, 44.44%),hyperlipemia (6,66.67%),hyperhomocysteinemia (2,22.22%),smoking (5,55.56%),drinking (5,55.56%),coronary heart disease (1,11.11%) and thrombocythemia (2,22.22%). The clinical presentation were dizzy (6,66.67%),vomiting (3,33.33%),lateropulsion (3,33. 33%),dysphagia (1, 11.11%),choking (2,22.22%)and limb numbness (1,11.11%). The neurological signs were palate paralysis (6,66.67%),trunk ataxia (6,66.67%),Horner's syndrome (3,33.33%). All patients were lateral medullary infarction with proximal 1 (11.11%),middle 4 (44.44%)and distal 4 (44.44%). The e-NIHSS score was 0－6 (3.55 ± 1.81). Conclusions The e-NIHSS could be a supplement of NIHSS in evaluating the neurological signs of medullary infarction.关键词
延髓梗死/体征/扩展/NIHSSKey words
medullary infarction/signs/expanded/NIHSS分类
医药卫生引用本文复制引用
季蕾,蒋颖,岳春贤,叶丹,刘猛,吴坚,盛世英,练学淦..扩展版NIHSS对NIHSS评分0分延髓梗死的评估价值[J].临床神经病学杂志,2018,31(6):418-421,4.基金项目
江苏省社会发展项目(BE2016659) （BE2016659）
常州市社会发展项目(CE20165026) （CE20165026）
常州市应用基础研究(CJ20179062) （CJ20179062）
