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目的:探讨合并心脏卵圆孔未闭脑卒中患者的临床特点。方法:回顾性研究2008至2010年收治的合并心脏卵圆孔未闭的脑卒中12例患者的临床资料。结果:本组12例患者中,有高血压史2例、吸烟史3例。卵圆孔缺损≥2mm者10例(83.3%),年龄<55岁8例(66.7%),有偏头痛病史3例(25.0%)。头颅MRI示梗死位于额叶皮质下及顶叶皮质下各7例(58.3%),前循环供血区7例(58.3%)。结论:合并心脏卵圆孔未闭的缺血性脑卒中患者发病年龄偏小,偏头痛病是其并发症;卵圆孔缺损≥2mm者易罹患脑卒中。
Objective: To investigate the clinical features of stroke patients with patent foramen ovale. Methods: The clinical data of 12 patients with stroke complicated by patent foramen ovale admitted from 2008 to 2010 were retrospectively studied. Results: The group of 12 patients, history of hypertension in 2 cases, 3 cases of smoking history. There were 10 cases (83.3%) with the foramen ovale defect≥2mm, 8 cases (66.7%) under the age of 55 years old and 3 cases (25.0%) with the history of migraine. 7 cases (58.3%) were found in frontal subcortical and parietal cortex under skull MRI and 7 cases (58.3%) in frontal circulation. Conclusions: The age of onset of ischemic stroke complicated by patent foramen ovale is short and migraine is the complication. Patients with foramen ovale defects ≥2 mm are prone to stroke.