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Percheron动脉梗死二例

Jiaojiao Liu, Yongfei Wang,Beilei Xiao,Dongjuan Yuan,Hong Jiang,Lulu Zheng,Xinying Tian

Journal of Brain and Nervous Diseases（2018）

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Abstract
目的 探讨Percheron动脉梗死的临床特点.方法 分析本院神经内科临床确诊的2例Percheron动脉梗死患者.结果 2例患者均急性起病,主要临床表现为意识障碍、双瞳孔不等大及眼球活动障碍,头颅MRI为双侧丘脑旁正中部对称性DWI高信号和(或)中脑高信号呈"V"字征,经抗血小板聚集、降脂稳斑、营养神经、改善循环等治疗后临床症状及影像学表现均好转.结论 Percheron动脉梗死,以意识障碍、记忆障碍、垂直凝视麻痹为典型临床表现,头颅MRI双侧丘脑旁正中DWI对称性高信号和(或)中脑高信号呈"V"字征为其影像学特点.部分Percheron动脉梗死病情危重,早期识别及诊治有助于改善预后.
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Key words
Percheron artery,Bilateral thalamic,Magnetic resonance imaging
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