〖医学〗脑血管疾病二教材-课件.ppt

Clinical syndromes of CI Occlusion syndrome of ACA 主干闭塞(occlusion in stem) 中枢性面舌瘫、偏瘫下肢重于上肢(挑扁担样瘫) (Shoulde-pole-carry-like), 伴轻度感觉障碍 尿便障碍或尿急(旁中央小叶损), (incontinence , paracentral lobule is affected) Clinical syndromes of CI Occlusion syndrome of ACA 主干闭塞 (occlusion in stem) 精神症状 (psychiatric symptom) (颞极与胼胝体受累，temporal pole andcorpus callosum are affected)，常可见强握、吸吮反射 (额叶病变) (grasp reflex, suck reflex are common signs, lision in frontal lobe). Clinical syndromes of CI Occlusion syndrome of ACA 皮层支闭塞(occlusion in superior division) 对侧偏瘫，下肢重于上肢 (sensorimotor deficit of the opposite leg and foot and , to less degree, of the shoulder and arm ) Clinical syndromes of CI Occlusion syndrome of ACA 深穿支闭塞 (occlusion in inferior division) 面、舌、肩瘫 (contralateral paresis includes face, lingua, shoulder) Clinical syndromes of CI Occlusion syndrome of PCA 主干闭塞 (occlusion in stem )： 对侧偏盲、偏瘫及偏身感觉障碍(较轻) 丘脑综合症 (thalamic syndrome) 主侧半球病变可有失读症(alexia).  Clinical syndromes of CI Occlusion syndrome of PCA 皮层支闭塞（ occlusion in superior division ） 对侧同向性偏盲(contralateral homonymous hemianopia)、象限盲(quadrant hemianopia)、皮质盲(cortical blidness, bilateral involvment) Clinical syndromes of CI Occlusion syndrome of PCA 皮层支闭塞（ occlusion in superior division ） 主侧颞下动脉闭塞时可见视觉性失认症 (visual agnosia)和颜色失认(achromatopsia) 主侧半球顶枕动脉闭塞可有对侧偏盲，失语。 Clinical syndromes of CI PCA occlusion syndrome 深穿支闭塞 (occlusion in inferior division) 丘脑穿通动脉闭塞：红核综合征（Claude syndrome) 丘脑综合征(thalamic syndrome): snesory loss, spontaneous pain and dysesthesias, choreoathetosis, intention tremor, spasm of hand, mild hemiparesis. Clinical syndromes of CI PCA occlusion syndrome 深穿支闭塞 (occlusion in inferior division) 中脑分支闭塞：Weber syndrome: third nerve palsy ad contralateral hemiplegia. Clinical syndromes of CI Syndrome of vertebral- basilar artery occlusion 主干闭塞：广泛脑干梗死。Shows symptoms of cranial nerves, pyramidal tract, and cerebellum. Clinical syndromes of CI Syndrome of vertebral- basilar artery occlusion 基底动脉尖综合征（Top of