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本文报告3例经 CT 确诊的尾状核脑出血,两例患者突然出现头痛、呕吐、颈强直、意识障碍、精神混乱和血性脑脊液,类似于蛛网膜下腔出血,病变分别位于尾状核头部和体部;1例患者呈现腔隙综合征,表现为纯粹运动性偏瘫(PMH),出血位置在尾状核头部,CT是鉴别出血性腔隙综合征与腔隙性脑梗塞的唯一方法。复习有关文献,对尾状核脑出血发病机理、临床症状、CT 表现、诊断与鉴别诊断进行了讨论。
This article reports three cases of CT-proven cerebral hemorrhage in the caudate nucleus. Two patients suddenly developed headache, vomiting, stiff neck, disturbance of consciousness, confusion, and bloody cerebrospinal fluid, similar to subarachnoid hemorrhage. The lesions were located in the caudate nucleus Department and body; 1 patient showed lacunar syndrome, manifested as pure motor hemiplegia (PMH), bleeding in the head of the caudate nucleus, CT is to identify hemorrhagic lacunar syndrome and lacunar infarction is the only method. Review the literature on the pathogenesis of caudate nucleus cerebral hemorrhage, clinical symptoms, CT findings, diagnosis and differential diagnosis were discussed.