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本文报道60例胜隙性脑梗死的临床类型、CT及EEG的检测结果。临床上以纯运动性轻偏瘫最多,占47%。经CT证实,此种微梗死部位主要在内囊、基底节。EEG多数正常或轻度异常,异常率为48.33%。近期疗效评定:痊愈组与好转组相比,提示纯运动性轻偏瘫病例数大于感觉运动性,EEG正常率大于异常率。头颅CT两侧性病变26例中,有8例EEG系轻度或中度弥漫性改变,6例系局灶性改变。临床随访11例,随临床症状改善,10例病初EEG异常者,有7例逐渐恢复正常。若两者结合来判断预后,具有更大的临床实用价值。
This article reports 60 cases of interstitial-filled cerebral infarction clinical type, CT and EEG test results. Purely clinical hemiplegia purely the majority, accounting for 47%. The CT confirmed that such parts of the main infarction in the internal capsule, basal ganglia. EEG most normal or mild abnormalities, the abnormal rate was 48.33%. Recent evaluation of curative effect: The recovery group compared with the improvement group, suggesting that the number of pure sports hemiparesis is greater than the sense of motility, EEG normal rate is greater than the abnormal rate. In 26 cases of craniofacial CT bilateral lesions, 8 cases of EEG were mild or moderate diffuse changes, and 6 cases were focal changes. Clinical follow-up in 11 cases, with clinical symptoms improved, 10 cases of early EEG abnormalities, and 7 cases gradually returned to normal. If the combination of the two to determine the prognosis, with greater clinical value.