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本文报告4例偏头痛患者并发大脑梗死,男3女1,年龄16～32岁.4例均有发作性偏头痛,伴有视觉障碍。头痛的对侧有锥体束征、面部及肢体麻木、同向偏言、偏侧感觉缺损及/或发音困难、言语不流利、轻度意识障碍等神经学体征。4例共进行9次电子计算机断层扫描(CT)检查,在偏头痛区出现透亮区或低密度病灶(其中1例开始检查时正常,但注入对比剂后病灶显著增强,1个月后复查 CT 可见低密度病灶).4例的脑梗死均经大脑动脉造影证实。作者把上述4例的病变解释为大脑梗死,系根据下列2个以上的条件:①受侵犯区先前检查正常,此
This article reports 4 cases of migraine patients complicated by cerebral infarction, 3 males and 1 females, aged 16 to 32. 4 cases of migraine have migraine, accompanied by visual impairment. Contralateral headache with pyramidal tract signs, numbness of the face and body, with the same bias, partial sensory impairment and / or dysphonia, speech is not fluent, mild disturbance of consciousness and other neurological signs. A total of 4 cases underwent computed tomography (CT) examination in 9 cases. Translucent areas or low-density lesions were found in the migraine area (one of them was normal at the beginning of the examination, but the lesions were significantly enhanced after contrast injection and one month after the CT examination Visible low-density lesions) .4 cases of cerebral infarction were confirmed by cerebral arteriography. The authors interpret the above 4 cases of lesions as cerebral infarction, based on the following two conditions: ① the affected area was previously normal, this