Correlation between fluid-attenuated inversion recovery vascular hyperintensities and prognosis and cognitive dysfunction in patients with internal watershed cerebral infarction

中华行为医学与脑科学杂志 Pub Date : 2020-01-20 DOI:10.3760/CMA.J.CN371468-20190907-00611

Zhenbao Liu, Weixia Yang, Yulong Jiang, Wei-wen Wu

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Abstract

Objective To investigate the correlation between fluid-attenuated inversion recovery vascular hyperintensities(FVH) and prognosis and cognitive dysfunction in patients with internal watershed cerebral infarction(IWI). Methods Totally106 patients with IWI were selected.According to FVH diagnostic criteria, there were 59 cases in FVH (+ ) group and 47 cases in FVH (-) group.Demographic data and risk factors of cerebrovascular disease were collected to assess the clinical neurological function of the patients at admission and discharge, and the short-term outcome was assessed by modified RANKIN scale (mRS) score at 90 days after discharge.The cognitive function of patients was assessed by MMSE scale. Results There was no significant difference in NIHSS score between the two groups on admission (P>0.05). The NIHSS score of FVH (+ ) group((3.37±2.33))at discharge was significantly lower than that of the FVH (-) group ((4.43±2.72))(P 0.05). Conclusion FVH has no correlation with the severity of IWI patients when they are admitted to hospital.FVH may be used as an imaging sign for prognosis evaluation of patients with IWI .However, IWI patients with FVH may have more severe cognitive impairment. Key words: Fluid-attenuated inversion recovery vascular hyperintensities; Internal watershed infarction; Prognosis; Cognitive impairment

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内分水岭脑梗死患者液体衰减反转恢复血管高强度与预后及认知功能障碍的相关性

目的探讨内分水岭脑梗死(IWI)患者液体衰减反转恢复血管高强度(FVH)与预后及认知功能障碍的相关性。方法选择IWI患者106例。根据FVH诊断标准，FVH(+)组59例，FVH(-)组47例。收集患者入院和出院时的人口学资料和脑血管疾病危险因素，评估患者的临床神经功能，出院后90天采用改良RANKIN量表(mRS)评分评估短期预后。采用MMSE量表评估患者的认知功能。结果两组患者入院时NIHSS评分差异无统计学意义(P < 0.05)。FVH(+)组患者出院时NIHSS评分((3.37±2.33)分显著低于FVH(-)组((4.43±2.72)分(P 0.05)。结论FVH与IWI患者入院时病情严重程度无相关性。FVH可作为IWI患者预后评估的影像学标志，但IWI患者合并FVH可能存在更严重的认知功能障碍。关键词:流体衰减反演恢复血管高强度;内分水岭梗塞;预后;认知障碍

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中华行为医学与脑科学杂志

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8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.