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1991~1993年,我们共收洽12例表现为腔隙综合征的小量脑出血,现报告并分析如下。 1.临床资料:男8例,女4例,年龄48~72岁。有高血压病史者10例,其中10年以上8例,5年以上2例。突然起病10例,缓慢起病2例。临床表现为单纯运动性轻偏瘫7例,感觉运动性卒中2例,单纯感觉性卒中、共济失调性轻偏瘫、呐吃-笨手综合征各1例。均无颈部抵抗感及其他脑膜刺激征,均无意识障碍、智能改变、视野缺损、瞳孔改变、眼球运动障碍及癫痫发作。做腰穿10例,脑脊液外观及常规检查均正常。发病后2~7天CT扫描,示内囊出血5例,病灶分布于内囊、内囊苍白
From 1991 to 1993, we received a total of 12 cases of small cerebral hemorrhage manifested as lacunar syndrome, are reported and analyzed as follows. 1 clinical data: 8 males and 4 females, aged 48 to 72 years old. There are 10 cases of history of hypertension, of which more than 10 years in 8 cases, more than 5 years in 2 cases. Sudden onset of 10 cases, 2 cases of slow onset. Clinical manifestations of pure motor hemiplegia in 7 cases, 2 cases of sensory stroke, simple sensory stroke, ataxia hemiparesis, na eat - hand syndrome in 1 case. No neck resistance and other meningeal irritation, no unconsciousness, changes in intelligence, visual field defects, pupil changes, eye movement disorders and seizures. Do waist wear in 10 cases, cerebrospinal fluid appearance and routine examination were normal. 2 to 7 days after the onset of CT scan showed 5 cases of internal capsule hemorrhage, lesions distributed in the internal capsule, the internal capsule pale