以假性周围神经损害起病的脑梗死的临床及影像学特点(附3例报告)

被引:1
作者
刘晓静
冯燕
齐东
王淑辉
机构
[1] 首都医科大学附属北京友谊医院神经内科
关键词
脑梗死; 假性周围神经损害; 动脉狭窄,栓塞;
D O I
暂无
中图分类号
R743.3 [急性脑血管疾病(中风)];
学科分类号
1002 ;
摘要
目的探讨以假性周围神经损害起病的脑梗死的临床及影像学特点。方法回顾性分析3例以假性周围神经损害起病的脑梗死患者的临床资料。结果 3例患者以假性周围神经损害起病,表现为正中、尺或桡神经损害。头颅MRI检查显示皮质手运动区或侧脑室旁梗死灶,头颅CTA检查可见颅外或颅内大动脉狭窄。患者预后相对较好。结论假性周围神经损害可为脑梗死起病形式,临床表现不典型,存在病情进展加重可能,及时行头颅MRI检查对于明确诊断起到重要作用。
引用
收藏
页码:104 / 107
页数:4
相关论文
共 12 条
[1]  
Localization of the motor hand area to a knob on the precentral gyrus.A new landmark. Yousry TA,Schmid UD,Alkadhi H,et al. Brain . 1997
[2]  
Pseudoperipheral palsy due to cortical infarction. Rankin Emma M E,Rayessa Rayessa,Keir Sarah L. Age and Ageing . 2009
[3]  
Progressive cerebral infraction initially presenting with pseudo-ulnar nerve palsy in a patient with severe internal carotid artery stenosis. Kanako Kakinuma,Masashi Nakajima,Soutarou Hieda,Hiroo Ichikawa,Mitsuru Kawamura. Rinsho Shinkeiga . 2010
[4]  
An Unusual Cause of Pseudomedian Nerve Palsy[J] . Zina-Mary Manjaly,Andreas R. Luft,Hakan Sarikaya,J. L. González-Gutiérrez,V. Rajajee,Y. Wakabayashi. &nbspCase Reports in Neurological Medicine . 2011
[5]  
Ischemic stroke of the cortical “hand knob” area: stroke mechanisms and prognosis[J] . Nils Peters,Stefanie Müller-Schunk,Tobias Freilinger,Marco Düring,Thomas Pfefferkorn,Martin Dichgans. &nbspJournal of Neurology . 2009 (7)
[6]   Small cortical stroke in the "hand knob" mimics anterior interosseous syndrome [J].
Granziera, Cristina ;
Kuntzer, T. ;
Vingerhoets, F. ;
Cereda, C. .
JOURNAL OF NEUROLOGY, 2008, 255 (09) :1423-1424
[7]  
Pregnancy, patent foramen ovale and stroke: a case of pseudoperipheral facial palsy[J] . L. Giberti,G. Bino,P. Tanganelli. &nbspNeurological Sciences . 2005 (1)
[8]  
Diagnosis and neuroimaging of acute stroke producing distal arm monoparesis[J] . John Castaldo,Joanne Rodgers,Alexander Rae-Grant,Peter Barbour,Donna Jenny. &nbspJournal of Stroke and Cerebrovascular Diseases . 2003 (6)
[9]  
"Hand Knob" infarction. J Hall,A C Fli. BMJ Case Reports . 2009
[10]  
De valeur semiologique des troubles de la sensibilite a disposition radiculaire dans les lesions de l’’encephale. Lhermitte J. Sem Med . 1909