呈现后脑动脉中风的症状和成像特征,导致同名的半视眼
Elaine A Liu1, Sadhana Murali, Roberto Rivera-de Choudens
1Medical Scientist Training Program (EAL), University of Michigan School of Medicine, Ann Arbor, Michigan; and Departments of Neurology (SM, JDT), Radiology (RR-dC), and Ophthalmology and Visual Sciences (JDT), University of Michigan, Ann Arbor, Michigan.
概括
后脑动脉中风 (PCA) 往往缺乏预警信号,但可以出现视觉障碍和非视觉症状,如麻木. 早期识别有助于诊断并防止进一步的中风.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 血管神经学 血管神经学
背景情况:
- 后脑动脉中风 (PCA) 是同名脑视短视和其他神经缺陷的常见原因.
- 准确的定位对于及时诊断至关重要,以防止驾驶风险和复发性中风.
研究的目的:
- 详细介绍PCA中风的症状和迹象.
- 为了将症状和迹象与成像发现和中风病因相关联.
主要方法:
- 对85名患有PCA中风和同名 Hemianopia 的患者的回顾性分析.
- 提取有关症状,视觉/神经症状,手术,诊断和成像的数据.
- 使用因果分类中风系统确定中风病因.
主要成果:
- 90%的中风发生在没有先前症状的情况下,10%的中风有警告信号.
- 非视觉症状 (麻木,刺痛,头痛) 在43%的患者中发生.
- 与非视觉症状和动脉成像发现相关的thalamic心脏病发作.
结论:
- 通过视觉症状横向化和非视觉症状,可以帮助PCA中风的临床定位.
- 麻木和刺强烈表明同时发生的乳头心脏病发作.
- 临床特征和心脏病发作位置与中风病因没有相关性.
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