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目的探讨中脑梗死的临床及影像学特点。方法回顾性分析28例中脑梗死患者的临床资料和影像学检查结果。结果中脑梗死患者常见的临床症状为头晕或眩晕、肢体麻木或(和)无力等。常见的临床体征为肢体瘫痪、眼球运动障碍等,MRI显示,最常见的病变部位是中脑腹侧。MRA显示,大多数患者基底动脉狭窄或闭塞。绝大多数患者预后较好。结论头晕或眩晕、肢体瘫痪、眼球运动障碍等是中脑梗死常见的临床表现。MRI是诊断中脑梗死最重要的影像学检查技术。MRA能较准确反映血管病变的部位及程度。
Objective To investigate the clinical and imaging features of middle cerebral infarction. Methods The clinical data and imaging findings of 28 patients with cerebral infarction were retrospectively analyzed. Results Common clinical symptoms of patients with cerebral infarction were dizziness or dizziness, limb numbness or (weakness) and so on. Common clinical signs of limb paralysis, eye movement disorders, MRI, the most common lesion is ventral midbrain. MRA showed that most patients had a stenosed or occluded basilar artery. The vast majority of patients with better prognosis. Conclusion dizziness or dizziness, limb paralysis, eye movement disorders are common clinical manifestations of cerebral infarction. MRI is the most important diagnostic imaging of cerebral infarction imaging technology. MRA can more accurately reflect the location and extent of vascular lesions.