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目的对16例烟雾病患者的临床表现及影像学检查进行分析总结。方法回顾烟雾病的病因,临床表现及诊断方法、治疗等。结果 16例患者中,表现为脑出血的6例,表现为脑缺血的10例。12例行头CTA检查,4例行DSA检查,结果均符合烟雾病的血管病变。结论烟雾病病因不明,临床主要表现为脑缺血或脑出血;目前,TCD联合头CTA检查是诊断烟雾病首选办法。
Objective To analyze and summarize the clinical manifestations and imaging findings of 16 patients with moyamoya disease. Methods Review the cause of moyamoya disease, clinical manifestations and diagnostic methods, treatment and so on. Results Of the 16 patients, 6 showed intracerebral hemorrhage and 10 showed cerebral ischemia. Twelve patients underwent head CTA examination and 4 patients underwent DSA examination. The results were consistent with moyamoya disease. Conclusions The cause of moyamoya disease is unknown. The main clinical manifestation is cerebral ischemia or cerebral hemorrhage. At present, TCD combined with CTA is the first choice for the diagnosis of moyamoya disease.