摘要
Abstract
Objective To explore the clinical and imaging features of Trousseau syndrome associated cerebral infarction(TSCI),and to compare the differences in clinical data,imaging features,and laboratory test results among patients with tumors in different systems,so as to improve the diagnosis and treatment of TSCI by clinicians.
Methods This study selected patients diagnosed with TSCI admitted to the First Affiliated Hospital of Nanchang University from April 2020 to September 2024 as research subjects,based on inclusion and exclusion criteria.Clinical data,imaging features,and laboratory test results of patients were collected and subjected to retrospective analysis.
Results A total of 103 TSCI patients were ultimately included,with an average age of(66.0±10.6)years,including 62 males(60.2％)and 41 females(39.8％).The initial symptom was mainly dyskinesia(62 cases,60.2％).The"three-territory sign"was the most common imaging feature in TSCI patients(73 cases,70.9％).The most common tumors were digestive system tumors(38 cases,36.9％)and respiratory system tumors(36 cases,35.0％).Patients with TSCI related to digestive system tumors had significantly higher inflammatory factors and D-dimer levels than patients with TSCI related to respiratory system tumors(P＜0.05),and were more likely to experience progressive cerebral infarction(P=0.020)and had a worse prognosis(P=0.003).
Conclusions For patients with undetermined cerebral infarction,especially those with infarction lesions involving the distribution of multiple vessels,elevated levels of D-dimer and inflammatory factors,the possibility of TSCI should be considered.Patients with TSCI related to digestive system tumors tend to progress more easily and have a worse prognosis compared to those with TSCI related to respiratory system tumors.关键词
特鲁索综合征/脑梗死/肿瘤/消化系统/呼吸系统Key words
Trousseau's syndrome/Cerebral infarction/Tumor/Digestive system/Respiratory system分类
临床医学
