丘脑梗死患者的临床特点及预后分析.docxVIP

丘脑梗死患者的临床特点及预后分析

杨颖段永伟

[关键词]?丘脑梗死；临床特点；预后

[中图分类号]?R743??????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.04.008

Analysis?of?clinical?characteristics?and?prognosis?of?patients?with?thalamic?infarction

YANG?Ying，?DUAN?Yongwei

Department?of?Neurology，?Beijing?Shuili?Hospital，?Beijing?100036，?China

[Abstract]?Objective?To?analyze?the?clinical?characteristics?and?prognosis?of?patients?with?thalamic?infarction.?Methods?The?clinical?data?of?47?patients?with?simple?thalamic?infarction?hospitalized?in?Beijing?Shuili?Hospital?from?January?2016?to?January?2022?were?retrospectively?analyzed.?Cranial?magnetic?resonance?imaging?and?diffusion?weighted?imaging?were?used?to?determine?the?infarct?area?of?the?thalamus，?and?the?clinical?characteristics?and?prognosis?of?patients?with?different?thalamic?infarction?regions?were?observed.?Results?Among?47?patients?with?simple?thalamic?infarction，?there?were?4?cases?of?anterior?nucleus?infarction，?22?cases?of?lateral?nucleus?infarction，?13?cases?of?medial?nucleus?infarction?and?8?cases?of?posterior?nucleus?infarction.?The?most?common?clinical?manifestations?were?contralateral?hemiplegia，?hemidysesthesia?and?memory?impairment.?The?clinical?prognosis?of?patients?with?lateral?nucleus，?anterior?nucleus?and?posterior?nucleus?infarcts?was?better，?and?the?prognosis?of?patients?with?medial?nucleus?infarcts?was?worst.?At?90?days?of?follow-up，?the?scores?of?the?modified?Barthel?index?were?significantly?higher?than?those?at?admission?（P0.05）.?Conclusion?Patients?with?thalamic?infarction?were?prone?to?clinical?manifestations?such?as?hemiplegia，?hemidysesthesia?and?memory?impairment，?but?the?overall?prognosis?is?good.

[Key?words]?Thalamic?infarction;?Clinical?characteristics;?Prognosis

丘脑梗死占脑梗死的3.1%～4.4%[1]。丘脑具有诸多神经核团，不同的供血动脉闭塞可出现不同的临床定位体征。现收集47例单纯丘脑梗死患者进行回顾性分析，以探讨丘脑梗死的臨床表现及预后。

1??资料与方法

1.1??一般资料

1.2??方法

根据头颅MRI所示病灶位置，丘脑梗死病灶主要在前核区、外侧核区、内侧核区和后侧核区。前核区由丘脑结节动脉供血，外侧核区由丘脑膝状体动脉供血，内侧核区由丘脑旁正中动脉（又名丘脑穿通动脉）供血，后侧核区由脉络膜后动脉供血。

1.3??主要观察指标

①神经系统体征：收集入院当天患者的神经系统体征