中国卒中杂志2019，Vol.14Issue(1)：29-32,4.DOI:10.3969/j.issn.1673-5765.2019.01.005
内囊预警综合征临床、影像学特征及预后分析
Analysis of Clinical, Imaging Characteristics and Prognosis in Patients with Capsular Warning Syndrome
摘要
Abstract
Objective To investigate the etiology, clinical and imaging characteristics, and prognosis in patients with capsular warning syndrome (CWS). Methods A retrospective analysis of data of 41 patients with CWS from Department of Neurology, Changhai hospital, Navy Medical University from January 1, 2015 to December 31, 2017 was performed. Results Of 41 patients with CWS, 34 (82.9%) with hypertension, 24 (58.5%) with hyperlipemia, 18 (43.9%) having smoking, and 9 (22.0%) with diabetes. 20 (48.8%) cases showed pure motor symptoms, 8 (19.5%) cases showed pure sensory symptoms, and 13 (31.7%) cases showed sensory-motor symptoms. 37 (90.2%) patients had culprit artery (internal carotid artery and middle cerebral artery) stenosis, 11 patients underwent high-resolution magnetic resonance imaging examination, and 10 (90.9%) showed cerebral artery plaques. Of 41 patients, 30 (73.2%) were treated with dual antiplatelet drugs, and 5 patients (12.2%) progressed to cerebral infarction within 3 months. Nine patients (22.0%) had no recurrence after endovascular treatment. Conclusions The main cause of capsule warning syndrome is arteriosclerosis of middle cerebral artery. Patients with clear etiology and surgical indication should be treated as soon as possible. Dual antiplatelet therapy is more effective.关键词
短暂性脑缺血发作/内囊预警综合征/预后Key words
Transient ischemic attack/Capsular warning syndrome/Prognosis引用本文复制引用
孙旭,刘振宇,范存秀,黎佳思,毕晓莹..内囊预警综合征临床、影像学特征及预后分析[J].中国卒中杂志,2019,14(1):29-32,4.基金项目
上海市科委西医引导类项目(16411969900) （16411969900）
