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1985～1990年,作者经磁共振(MR)证实的腔隙性脑梗塞160例,其中5例并发脑内血肿,兹报告如下:男4例,女1例。年龄56～84岁。4例有高血压史,1例血压正常、有房性阵发性期外收缩。神经系统检查,左侧共济失调性轻偏瘫、单纯运动性偏瘫、面下部轻瘫及构音困难、左偏瘫、左轻偏瘫及小脑型运动各1例。CT 及 MR 检查发现:例1入院第8日 CT 显示右放射冠有腔隙性梗塞影像,第40日MR 显示左放射冠及左豆状核有一血肿影像。例2入院当日 CT 未显示病变,第8日 MR 显示右放射冠及右豆状核有血肿影像,右枕叶有新近的腔隙性梗塞影像。例3 CT 显示幕上下有腔隙性梗塞影像,
From 1985 to 1990, 160 cases of lacunar infarction confirmed by magnetic resonance imaging (MR) were identified. Among them, 5 cases complicated with intracerebral hematoma were reported as follows: 4 males and 1 female. Age 56 to 84 years old. 4 cases had a history of hypertension, 1 case of normal blood pressure, paroxysmal atrial contraction. Neurological examination, left ataxia hemiparesis, simple motor hemiplegia, facial paralysis and dysarthria, left hemiplegia, left hemiplegia and cerebellar movement in 1 case. CT and MR examination found: Example 1 on the 8th day of admission CT showed right corona lacuna with lacunar infarction images, on the 40th day MR showed left coronoid and left lenticule with a hematoma image. On the day of admission, CT showed no pathological changes. On the 8th day MR showed a hematoma image of the right coronoid and the right lentiform nucleus. There was a new lacunar infarction in the right occipital lobe. Example 3 CT display of the upper and lower lacunar infarction images,