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作 者:陶晓勇[1] 刘淑艳[1] 耿晓非[1] 王卫[1] 陈兵[1] 魏东宁[1]
机构地区:[1]中国人民解放军第309医院神经内科,北京100091
出 处:《齐鲁医学杂志》2015年第3期312-314,共3页Medical Journal of Qilu
摘 要:目的总结SNEDDON综合征(SS)的临床特点,提高其诊治水平。方法分析1例SS病人的临床资料并复习相关文献。结果病人双手出现网状青斑,伴有后循环短暂性脑缺血,既往有脑梗死病史,颅脑MRI检查可见多发腔隙性梗死,诊断SS,经抗血小板等治疗后好转。结论 SS是主要累及中小血管的系统性血管疾病,病因尚不明确,临床表现为广泛皮肤网状青斑并缺血性脑卒中,多伴其他脏器损害。早期诊治可防止严重神经功能缺损的发生。Objective To summarize the clinical characteristics of SNEDDON's syndrome and improve its diagnosis and treatment. Methods The clinical data of one patient with SNEDDON's syndrome was analyzed and literature concerned re- viewed. Results The patient presented livedo reticularis in both hands accompanying metacyclic transient ischemia, who had a past history of cerebral infarction. Cranial MRI manifested multiple lacunar infarction, SNEDDON's syndrome was confirmed. The patient got better after antiplatelet therapy. Conclusion SNEDDON's syrdrome is a systemic disease mainly involving medium and small blood vessels, the causes are still unclear. Clinical manifestations are widespread skin livedo reticularis with cerebral ischemic stroke, mostly accompanying other internal organ damages. Early diagnosis and treatment can prevent the occurrence of severe neurologic impairment.
关 键 词:SNEDDON综合征 脑梗死 诊断
分 类 号:R743.3[医药卫生—神经病学与精神病学]
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