Cerebral blood flow in single and multiple lacunar infarctions

被引:25
作者
Mochizuki, Y [1 ]
Oishi, M [1 ]
Takasu, T [1 ]
机构
[1] NIHON UNIV, SCH MED, DEPT NEUROL, TOKYO 179, JAPAN
关键词
acetazolamide; cerebral blood flow; lacunar infarction; xenon;
D O I
10.1161/01.STR.28.7.1458
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background and Purpose Single and multiple lacunar infarctions may have some difference in underlying diseases and cerebral blood Rows. To determine the difference, we investigated underlying diseases and cerebral blood Rows in single and multiple lacunar infarctions. Methods Fifteen cases of lacunar infarction, 10 cases of multiple lacunar infarctions, and 16 control subjects were studied. Regional cerebral blood Row was measured within 14 days after stroke onset with the stable xenon CT method. Results The rate of association of diabetes mellitus was higher in the multiple lacunar infarctions group than in the single lacunar infarction group. The blood now in the cerebral cortex was significantly lower in the multiple lacunar infarctions group than in the single lacunar infarction group. The blood flow change by acetazolamide in the cerebral cortex was significantly lower in the multiple lacunar infarctions group than in the single lacunar infarction group. Conclusions There is some difference in underlying diseases and cerebral blood flows between single and multiple lacunar infarctions.
引用
收藏
页码:1458 / 1460
页数:3
相关论文
共 19 条
[1]   INCIDENTAL SUBCORTICAL LESIONS IDENTIFIED ON MAGNETIC-RESONANCE-IMAGING IN THE ELDERLY .2. POSTMORTEM PATHOLOGICAL CORRELATIONS [J].
AWAD, IA ;
JOHNSON, PC ;
SPETZLER, RF ;
HODAK, JA .
STROKE, 1986, 17 (06) :1090-1097
[2]   2 CLINICALLY DISTINCT LACUNAR INFARCT ENTITIES - A HYPOTHESIS [J].
BOITEN, J ;
LODDER, J ;
KESSELS, F .
STROKE, 1993, 24 (05) :652-656
[3]   DIASCHISIS [J].
FEENEY, DM ;
BARON, JC .
STROKE, 1986, 17 (05) :817-830
[4]   LACUNAR STROKES AND INFARCTS - A REVIEW [J].
FISHER, CM .
NEUROLOGY, 1982, 32 (08) :871-876
[5]   EFFECT OF ACETAZOLAMIDE ON CEREBRAL BLOOD-FLOW AND CAPILLARY PATENCY [J].
FRANKEL, HM ;
GARCIA, E ;
MALIK, F ;
WEISS, JK ;
WEISS, HR .
JOURNAL OF APPLIED PHYSIOLOGY, 1992, 73 (05) :1756-1761
[6]  
Haku Tamami, 1996, Nippon Acta Radiologica, V56, P828
[7]   CHRONIC CEREBROVASCULAR INSUFFICIENCY ON THE XENON CT SCAN [J].
HOLL, K ;
NEMATI, N ;
HEISSLER, H ;
GAAB, M ;
HAUBITZ, B ;
BECKER, H ;
DIETZ, H .
NEUROSURGICAL REVIEW, 1989, 12 (03) :205-210
[8]  
JOHNSON DW, 1991, AM J NEURORADIOL, V12, P201
[9]   PREVALENCE OF SILENT STROKE IN PATIENTS PRESENTING WITH INITIAL STROKE - THE FRAMINGHAM-STUDY [J].
KASE, CS ;
WOLF, PA ;
CHODOSH, EH ;
ZACKER, HB ;
KELLYHAYES, M ;
KANNEL, WB ;
DAGOSTINO, RB ;
SCAMPINI, L .
STROKE, 1989, 20 (07) :850-852
[10]  
KASHIWAGI S, 1992, AM J NEURORADIOL, V13, P49