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腔隙梗塞患者的临床特征与CT两者的关系已有大量的病例组报道,对于腔隙梗塞的诊断,EEG不再被认为是必须的,因为全部报告为正常或表现为非特异性所见,而未注意到那些细微不对称α和μ节律及用计算机分析较小的缺血损害患者的轻微EEG异常。本文研究年龄在39～85岁的三组病人,每组12例。第一组平均年龄67岁,是近期临床腔隙梗塞综合征患者。7例患者系单纯运动性轻偏瘫,3例感觉运动性卒中及2例共济失调性轻偏瘫(同侧锥体束和小脑体征)。这些病人未显示皮层机能障碍,视野缺损及临床脑干体征。此12例的CT显示内囊、基底节和放射冠相应的腔隙梗塞。第二组,平均年龄67岁,有皮层梗塞的近期临床和放射线特征的病人。
The clinical characteristics of patients with lacunar infarcts and their relationship to CT have been reported in a large number of cases. For the diagnosis of lacunar infarction, EEG is no longer considered necessary since all are reported as normal or nonspecific, Without noticing the slight EEG abnormalities in patients with subtle asymmetric α and μ rhythms and with computer-assisted analysis of smaller ischemic lesions. This study investigated three groups of patients aged 39-85 years in 12 patients. The first group, mean age 67 years old, is a recent clinical case of lacunar infarction. Seven patients had simple motor hemiparesis, three sensory strokes and two ataxia hemiparesis (ipsilateral pyramidal tract and cerebellar signs). These patients did not show cortical dysfunction, visual field defects and clinical brainstem signs. The CT findings of these 12 cases showed that the internal capsule, the basal ganglia, and the corneal infarct corresponded to the cornea. The second group, mean age 67 years, had recent clinical and radiographic features of cortical infarcts.