【摘要】：動脈粥樣硬化后腦血管管腔狹窄乃至閉塞是腦梗死最常見原因,本文報道1例增殖性腦血管病(CPA)致腦梗死患者,患者腦梗死區(qū)域血管較正常腦組織豐富。通過文獻復習,對CPA患者的臨床表現(xiàn)、影像學表現(xiàn)、血管造影、病理、發(fā)病機制、治療和預后進行討論。目前,文獻報道CPA致腦梗死病例較少,顱腦CT血管成像可見病灶區(qū)血管異常豐富,應根據患者具體情況制定個體化治療方式,預后尚難以評估。
[Abstract]:Stenosis or occlusion of cerebral vascular lumen after atherosclerosis is the most common cause of cerebral infarction. This paper reports a case of cerebral infarction caused by proliferative cerebrovascular disease (CPA), in which there are more blood vessels in the cerebral infarction area than in the normal brain tissue. The clinical manifestations, imaging findings, angiography, pathology, pathogenesis, treatment and prognosis of patients with CPA were reviewed. At present, it is reported that there are few cases of cerebral infarction caused by CPA and abnormal blood vessels can be seen on CT angiography of the brain. The individualized treatment should be made according to the specific conditions of the patients, and the prognosis is still difficult to evaluate.
【作者單位】： 西南醫(yī)科大學附屬醫(yī)院神經內科;樂山市人民醫(yī)院風濕免疫科;西南醫(yī)科大學附屬醫(yī)院放射科;瀘州市人民醫(yī)院放射科;
【分類號】：R743.33
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本文編號：2444242