摘要
目的对临床诊断为隐源性脑梗死的29例年龄在45岁以下的患者进行临床特点分析。方法回顾性分析29例青年隐源性脑卒中患者的临床特点,包括性别组成,首发症状,影像学所见,治疗后转归及并发症,并进行为期3 a随访。结果青年隐源性脑卒中多以单个病灶为主,累及基底节和皮层多见;1 a复发1例(3.4%),2 a复发3例(10.3%),3 a复发2例(6.9%);36个月后NIHSS评分平均仅4分;无死亡病例。结论青年隐源性脑梗死临床表现多样,症状较轻,预后好,复发率低于普通人群隐源性脑梗死发生率。
Objective To investigate the clinical characters of young adults with cryptogenic cerebral infarction.Methods Clinical syndrome and neuroimage manifestation of 29 young adults with cryptogenic cerebral infarction were retrospectively analyzed.They were followed by a 3-year follow up investigation to assess the clinical recurrence and other ischemic vascular events.NIHSS scale was used to measure the functional outcome 36 months later after the first-ever stroke.Results Unilateral lesions affecting basal ganglia or cortical occurred most frequently.Infarction was unique in 27（93.1%）cases,the annual recurrence was 3.4%,the 2 and 3-year recurrence rate was 10.3%,6.9%,respectively.The survival rate calculated to 100% and the mean score of NIHSS was 4.Conclusion Young adults with cryptogenic cerebral infarction are mostly single,and have low recurrence and good functional outcome in the long-term follow-up.Total anterior circulation infarctions are correlated to poor outcome.
出处
《中国实用神经疾病杂志》
2011年第12期12-14,共3页
Chinese Journal of Practical Nervous Diseases
关键词
隐源性
青年脑梗死
临床特点
Young adults
Cryptogenic cerebral infarction
Clinical feature
