摘要
腔隙性梗死临床极为常见,每种腔隙性梗死综合征通常提示为某一特定部位的病变,然而,临床观察发现同一腔隙综合征也可由不同部位的病变所致。同一部位病灶也可导致不同种类的腔隙综合征。腔隙综合征的临床表现复杂多变,远不止Fisher列举的21种腔隙综合征,如手-口综合征、面舌综合征、构音障碍-面轻瘫综合征、单独吞咽困难、单独偏身共济失调及四肢共济失调等多被归入某些综合征的变异型。另外,同时或相继以两组综合征起病的腔隙性梗死极少见,内囊后肢腔隙性梗死更具有其独特的特点。
Lacunar in farct is one of the most common CVD in clinical practice. The symptoms and signs of each lacunar syndrome always give a clue to the specific lesion. The same syndrome can be caused by different lesions, while the same lesion can also lead to different syndromes. The clinical feature of lacunar syndrome is varied, and is not limited in 21 kinds which had been enumerated by Fisher, even more varieties of this syndrome, such as cheiro-oral syndrome, faciolingual syndrome, dysarthria-facial paresis syndrome, isolated dysphagia, hyposthetic ataxia hemiparesis , isolated hemiataxia , tetra-ataxia , and so on have been reported recently. Moreover, we have found that two lacunar syndromes can occur synchronously or successively in short time, which was very uncommon, and the lacunar infarct situated in the posterior limb of interal capsule presents its special clinical feature.
出处
《中华神经医学杂志》
CAS
CSCD
2002年第1期73-75,共3页
Chinese Journal of Neuromedicine
关键词
腔隙性梗死
腔隙综合征
脑血管疾病
lacunar infarct
lacunar syndrome
cerebrovascular disease
