10例Heubner回返动脉梗死的临床及神经影像学分析  

Clinical and neuroimaging analysis of infarction of recurrent artery of Heubner

作　　者：秦雪[1] 何志义[1] 李蕾[1] 赵奕楠[1] 刘芳[1] 邓淑敏[1] 

机构地区：[1]中国医科大学附属第一医院神经内科,辽宁沈阳110001

出　　处：《中风与神经疾病杂志》2011年第1期29-32,共4页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨Heubner回返动脉梗死的解剖特点、临床表现及神经影像学特点。方法回顾性分析我科收治的10例Heubner回返动脉梗死患者的临床表现、神经影像学检查特点,讨论梗死病灶与供应血管的关系。结果 10例患者的主要临床表现是构音障碍、中枢性面舌瘫、偏瘫(上肢较重)等;神经影像学显示尾状核头部、壳核前部、苍白球外侧部、内囊前肢等区域梗死。结论正确认识Heubner回返动脉梗死的解剖特点、临床表现和神经影像学特点可提高临床诊治水平。Objective To investigate the anatomical features, clinical presentations and neuroimaging features of in- farction of recurrent artery of Heubner（ RAH ）. Methods We analyzed the clinical presentations and neuroimaging fea- tures in 10 patients with occlusion of RAH who were admitted to our department retrospectively. Results 10 cases mainly presented dysarthria, paralysis of the face and tongue and hemiplegia with brachial dominance. Their neuroimagings showed infarctions in head of the caudate nucleus, anterior portion of putamen, external segment of globns pallidus and anterior limb of internal capsule. Conclusions It could improve clinical diagnosis by correct understanding the anatomical features, clinical presentations and neuroimaging features of infarction of RAH.

关 键 词：Heubner回返动脉 脑梗死 纹状体 

分 类 号：R743.3[医药卫生—神经病学与精神病学]