急性脉络膜前动脉区域梗塞:病例系列报告。

IF 3.2 Q2 CLINICAL NEUROLOGY Neurology International Pub Date : 2024-02-29 DOI:10.3390/neurolint16020020
Antonia Tsika, Polyxeni Stamati, Zisis Tsouris, Antonios Provatas, Alexandra Papa, Dimitrios Tsimoulis, Stylliani Ralli, Vasileios Siokas, Efthimios Dardiotis
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引用次数: 0

摘要

由于脉络膜前动脉(AChA)闭塞,缺血性脑卒中具有典型的临床三联征,即偏瘫、偏身感觉障碍和同侧偏盲。本研究旨在记录 AChA 梗死病例的特征性临床表现和病程。我们描述了拉里萨大学综合医院神经科收治的五例 AChA 分布区急性梗死病例。结果:所有病例均表现为偏瘫和下面部神经麻痹,其中四人有构音障碍,两人表现为共济失调。两例患者接受了静脉溶栓治疗。值得注意的是,患者的临床表现不断恶化,特别是在 48 小时内上肢无力症状加剧。此外,上肢肌无力比下肢更严重。在三个月的随访中,四个病例的上肢功能恢复情况很差。脑血管病发作的特点是突然发病,而 AChA 肌梗死的临床表现可在数天内逐渐发展,上肢负担加重,恢复较差。
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Acute Anterior Choroidal Artery Territory Infarction: A Case Series Report.

Due to the occlusion of the anterior choroidal artery (AChA), ischemic strokes are described with the classic clinical triad, namely hemiplegia, hemianesthesia, and homonymous hemianopsia. The aim of this study is to document the characteristic clinical presentation and course of AChA infract cases. We describe five cases with acute infarction in the distribution of the AChA, admitted to the Neurological Department of the University General Hospital of Larissa. Results: All cases presented with hemiparesis and lower facial nerve palsy, while four of them had dysarthria, and two patients exhibited ataxia. Two cases underwent intravenous thrombolysis. A notable feature was the worsening of the clinical course, specifically the exacerbation of upper limb weakness within 48 h. Stabilization occurred after the third day, with the final development of a more severe clinical presentation than the initial one. Additionally, muscle weakness was more severe in the upper limb than in the lower limb. The recovery of upper limb function was poor in the three-month follow-up for the four cases. While vascular brain episodes are characterized by sudden onset, in AChA infraction, the clinical onset can be gradually developed over a few days, with a greater burden on the upper limb and poorer recovery.

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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
期刊最新文献
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