首页出版说明中文期刊中文图书环宇英文官网付款页面

急性脑桥梗死的研究现状

林乐 双1, 卢宝 全2

摘要


摘要:脑卒中是我国头号致死原因。急性脑桥梗死(acute pontine infarction,API)是后循环区域最常见的卒中类型,约占所有缺血性卒中的7%,占椎基底动脉系统缺血性卒中的10-15%。API患者症状多样,临床上早期诊断存在困难,部分患者可出现早期神经功能恶化,预后差。本研究着重对脑桥解剖以及API的发病机制、临床症状、诊断、治疗予以阐述,增加临床对API的认识。

关键词


关键词:脑桥梗死;发病机制;临床症状

全文:

PDF


参考


[1]HUANG R, ZHANG X, CHEN W, et al. Stroke Subtypes and Topographic Locations Associated with Neurological Deterioration in Acute Isolated Pontine Infarction [J]. J Stroke Cerebrovasc Dis, 2016, 25(1): 206-13.[2]JIANG Y, XU X, WEN Z, et al. In-stent restenosis after vertebral artery stenting [J]. Int J Cardiol, 2015, 187: 430-3.[3]SCIACCA S, LYNCH J, DAVAGNANAM I, et al. Midbrain, Pons, and Medulla: Anatomy and Syndromes [J]. RadioGraphics, 2019, 39(4): 1110-25.[4]宋杨柳, 刘碧华, 王芳, et al. 穿支动脉粥样硬化性疾病的 MRI 研究进展[J]. 国际医学放射学杂志, 2023, 46(02): 168-72.[5]KWIATKOWSKA M, RZEPLINSKI R, CISZEK B. Anatomy of the pontine arteries and perforators of the basilar artery in humans [J]. J Anat, 2023, 243(6): 997-1006.[6]VLASKOVIC T, BRKIC B G, STEVIC Z, et al. Anatomic and MRI Bases for Pontine Infarctions with Patients Presentation [J]. J Stroke Cerebrovasc Dis, 2022, 31(8): 106613.[7]WU L, LI Y, YE Z, et al. Site and Mechanism of Recurrent Pontine Infarction: A Hospital-Based Follow-Up Study [J]. Brain Sci, 2022, 12(5).[8]VEMMOS K N, SPENGOS K, TSIVGOULIS G, et al. Aetiopathogenesis and long-term outcome of isolated pontine infarcts [J]. J Neurol, 2005, 252(2): 212-7.[9]王红霞, 刘欣, 王丽娟, et al. 不同年龄脑桥梗死患者危险因素和病因分型及预后分析研究 [J]. 中国全科医学, 2018, 21(26): 3190-3.[10]KIM J S, CHO K H, KANG D W, et al. Basilar artery atherosclerotic disease is related to subacute lesion volume increase in pontine base infarction [J]. Acta Neurol Scand, 2009, 120(2): 88-93.[11]HA S H, RYU J C, BAE J H, et al. Isolated pontine infarction versus pontine plus infarction: prevalence, pathogenic mechanism, and outcomes [J]. J Neurol, 2022, 269(8): 4375-82.[12]JU Y, HUSSAIN M, ASMARO K, et al. Clinical and imaging characteristics of isolated pontine infarcts: a one-year follow-up study [J]. Neurol Res, 2013, 35(5): 498-504.[13]VENKATARAMAN P, TADI P, LUI F. Lacunar Syndromes [M]. StatPearls. Treasure Island (FL); StatPearls Publishing Copyright © 2024, StatPearls Publishing LLC. 2024.[14]KALAMPOKINI S, POYIADJIS S, VAVOUGIOS G D, et al. Restless legs syndrome due to brainstem stroke: A systematic review [J]. Acta Neurol Scand, 2022, 146(5): 440-7.[15]TUO H, TIAN Z, MA X, et al. Clinical and radiological characteristics of restless legs syndrome following acute lacunar infarction [J]. Sleep Med, 2019, 53: 81-7.[16]SANO T, OHIRA M, MIZUTANI M, et al. Brainstem Infarction Presenting with Trigeminal Neuralgia and Bell's Palsy [J]. Am J Med, 2023, 136(1): e9.[17]DOMINGUEZ M, IRIARTE P, VAZQUEZ A, et al. Facial diplegia in a patient with a brainstem infarction: when the clinical course and ocular symptoms exclude other causes [J]. Neurologia (Engl Ed), 2023, 38(4): 305-7.[18]YUM K S, NA S J, LEE K Y, et al. Pattern of voiding dysfunction after acute brainstem infarction [J]. Eur Neurol, 2013, 70(5-6): 291-6.[19]XI Z, LUNING W. REM sleep behavior disorder in a patient with pontine stroke [J]. Sleep Med, 2009, 10(1): 143-6.[20]HALAN T, ORTIZ J F, REDDY D, et al. Locked-In Syndrome: A Systematic Review of Long-Term Management and Prognosis [J]. Cureus, 2021, 13(7): e16727.[21]ALEMSEGED F, NGUYEN T N, ALVERNE F M, et al. Endovascular Therapy for Basilar Artery Occlusion [J]. Stroke, 2023, 54(4): 1127-37.[22]BABILONI C, PISTOIA F, SARà M, et al. Resting state eyes-closed cortical rhythms in patients with locked-in-syndrome: an EEG study [J]. Clin Neurophysiol, 2010, 121(11): 1816-24.[23]WARDLAW J M, ARMITAGE P, DENNIS M S, et al. The use of diffusion-weighted magnetic resonance imaging to identify infarctions in patients with minor strokes [J]. J Stroke Cerebrovasc Dis, 2000, 9(2): 70-5.[24]TOI H, UNO M, HARADA M, et al. Diagnosis of acute brain-stem infarcts using diffusion-weighed MRI [J]. Neuroradiology, 2003, 45(6): 352-6.[25]OPPENHEIM C, STANESCU R, DORMONT D, et al. False-negative diffusion-weighted MR findings in acute ischemic stroke [J]. AJNR Am J Neuroradiol, 2000, 21(8): 1434-40.[26]SORIMACHI T, ITO Y, MORITA K, et al. Thin-section diffusion-weighted imaging of the infratentorium in patients with acute cerebral ischemia without apparent lesion on conventional diffusion-weighted imaging [J]. Neurol Med Chir (Tokyo), 2008, 48(3): 108-13.[27]ENTWISLE T, PERCHYONOK Y, FITT G. Thin section magnetic resonance diffusion-weighted imaging in the detection of acute infratentorial stroke [J]. J Med Imaging Radiat Oncol, 2016, 60(5): 616-23.[28]FELFELI P,WENZ H,AL-ZGHLOUL M, et al. Combination of standard axial and thin-section coronal diffusion-weighted imaging facilitates the diagnosis of brainstem infarction [J]. Brain Behav, 2017, 7(4): e00666.[29]王黎明, 侯会敏, 于进超, et al. 常规轴位和薄层矢状位弥散加权成像联合应用改善急性脑干梗死检测能力 [J]. 国际脑血管病杂志, 2021, 29(5): 337-41.[30]钟迪,张舒婷, 吴波. 《中国急性缺血性脑卒中诊治指南2018》解读 [J]. 中国现代神经疾病杂志, 2019, 19(11): 897-901.[31]陈会生,杨清武,程忻.急性缺血性卒中替奈普酶静脉溶栓治疗中国专家共识[J].中国神经精神疾病杂志, 2022, 48(11): 641-51.[32]高峰. 急性缺血性脑卒中血管内治疗中国专家共识 [J]. 中国脑血管病杂志, 2014, 11(10): 556-60.




DOI: http://dx.doi.org/10.12361/2661-3603-06-01-155993

Refbacks

  • 当前没有refback。