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目的通过分析60岁以上老年患者急性脑梗塞(ACI)影像表现、临床表现及预后来总结>60岁老年人急性脑梗塞的临床及影像特点。方法209例ACI患者,均采用CT、MRI检查,其中120例为>60岁老年人。对其影像学改变及治疗预后进行分析。结果本组120例中多数在睡眠中发作,临床表现以头痛、晕厥、肢体障碍、口唇歪斜、话语不清、眼球运动障碍为多,多以基底节、脑叶梗塞、延髓、桥脑腔隙性脑梗塞多见。结论>60老年人ACI多见,多隐匿起病和急性起病,影像表现无特异性。
Objective To summarize the clinical and imaging features of acute cerebral infarction in 60-year-old patients by analyzing the imaging manifestations, clinical manifestations and prognosis of acute cerebral infarction (ACI) in elderly patients over 60 years of age. Methods 209 cases of ACI patients, using CT, MRI examination, of which 120 cases were> 60 years old. The imaging changes and treatment prognosis were analyzed. Results The majority of the 120 cases of seizures in the onset of sleep, the clinical manifestations of headache, fainting, limb disorders, lip skew, discourse, eye movement disorders and more, mostly basal ganglia, cerebral infarction, medulla, More common cerebral infarction. Conclusion> 60 elderly ACI more common, more occult onset and acute onset, imaging showed no specificity.