脑小血管病的诊断和治疗  

Diagnosis and treatment of cerebral small vessel disease

作　　者：高圆圆[1,2] 徐运[1,2] 

机构地区：[1]东南大学医学院,南京210009 [2]南京大学医学院附属鼓楼医院神经内科,210008

出　　处：《国际脑血管病杂志》2017年第3期233-238,共6页International Journal of Cerebrovascular Diseases

摘　　要：脑小血管病（cerebral small vessel disease，CSVD）是指颅内小血管病变所致临床、认知、影像学及病理表现的综合征。由于CSVD发病隐匿、病因不明、临床表现多样、短期预后较好，因此易被忽视，造成误诊、漏诊和不规范的诊疗。文章就CSVD的临床表现、影像学特征、诊断和治疗进展进行了综述。Cerebral small vessel disease （CSVD） refers to the syndromes of clinical, cognitive, radiographic and pathological manifestations caused by intracranial small vessel disease. Due to the insidious onset of CSVD, unknown etiology, diverse clinical manifestations, and better short-term prognosis, it is easily ignored, resulting in misdiagnosis, missed diagnosis, and non-standard diagnosis and treatment. This article reviews the advances in research on clinical manifestations, imaging features, diagnosis and treatment of CSVD.

关 键 词：脑小血管疾病 卒中 脑缺血 脑出血 脑白质疏松 认知障碍 磁共振成像 生物标志物 血栓溶解疗法 抗血小板聚集药 抗高血压药 抗胆固醇血症药 

分 类 号：R743[医药卫生—神经病学与精神病学]