99例纯感觉性卒中患者的临床研究  

Clinical study of 99 patients with pure sensory stroke

作　　者：Arboix A. Garca-Plata C. Garca-Eroles L. 赵睿 

机构地区：[1]Dept. of Neurology, Hospital Universitari del SagratCor, Universitat de Barcelona, Viladomat 288, 08029 Dr.Barcelona,Spain

出　　处：《世界核心医学期刊文摘（神经病学分册）》2005年第8期41-42,共2页Digest of the World Core Medical Journals:Clinical Neurology

摘　　要：Objective: We report a clinical description of pure sensory stroke based on da ta collected from a prospective acute stroke registry. Methods: From 2500 acute stroke patients includedin a hospital-based prospective stroke registry over a 12-year period, 99 were identified as having pure sensory stroke. Results:Pure sensory stroke accounted for 4.7%of all acute stroke patients, 5.4%of acute is chemic stroke, and 17.4%of lacunar syndromes. Complete hemisensory syndrome was present in 80 patients and incomplete hemisensory syndrome in 19 (cheirooral sy ndrome 12, cheiro-oral-pedal 6, isolated oral syndrome1). The lacunar hypothes is was fulfilled in 88%of patients.Atherothrombotic infarction occurred in 8 pa tients, intracerebral hemorrhage in 3, and stroke of undetermined cause in 1.Hem orrhagic pure sensory stroke was diagnosed in 1%of all cases of hemorrhagic str oke (n=270) in the database. Outcome was good (in-hospital mortality 0%, sympt om-free at discharge 41.5 %). After multivariate analysis, absence of disabili ty at discharge, hypertension, diabetes, hyperlipidemia, and thalamic(56.5 %) a nd corona radiata (4 %) locations were clinical and topographic variables signi ficantly associated with pure sensory stroke. Conclusions: Pure sensory stroke i s an infrequent cerebrovascular syndrome, in which the lacunar hypothesis is sup ported. Most patients had thalamic lacunar infarction. Incomplete hemisensory sy ndromes were also caused by a lacunar infarct in 84%of patients. Hemorrhagic pu re sensory stroke accounted only for 3%of the cases. The prognosis is good with striking similarity to other lacunar strokes. There are important differences b etween pure sensory stroke and nonlacunar strokes.Objective: We report a clinical description of pure sensory stroke based on da ta collected from a prospective acute stroke registry. Methods: From 2500 acute stroke patients includedin a hospital-based prospective stroke registry over a 12-year period, 99 were identified as having pure sensory stroke. Results:Pure sensory stroke accounted for 4.7%of all acute stroke patients, 5.4%of acute is chemic stroke, and 17.4%of lacunar syndromes. Complete hemisensory syndrome was present in 80 patients and incomplete hemisensory syndrome in 19 (cheirooral sy ndrome 12, cheiro-oral-pedal 6, isolated oral syndrome1). The lacunar hypothes is was fulfilled in 88%of patients.Atherothrombotic infarction occurred in 8 pa tients, intracerebral hemorrhage in 3, and stroke of undetermined cause in 1.Hem orrhagic pure sensory stroke was diagnosed in 1%of all cases of hemorrhagic str oke (n=270) in the database. Outcome was good (in-hospital mortality 0%, sympt om-free at discharge 41.5 %). After multivariate analysis, absence of disabili ty at discharge, hypertension, diabetes, hyperlipidemia, and thalamic(56.5 %) a nd corona radiata (4 %) locations were clinical and topographic variables signi ficantly associated with pure sensory stroke. Conclusions: Pure sensory stroke i s an infrequent cerebrovascular syndrome, in which the lacunar hypothesis is sup ported. Most patients had thalamic lacunar infarction. Incomplete hemisensory sy ndromes were also caused by a lacunar infarct in 84%of patients. Hemorrhagic pu re sensory stroke accounted only for 3%of the cases. The prognosis is good with striking similarity to other lacunar strokes. There are important differences b etween pure sensory stroke and nonlacunar strokes.

关 键 词：感觉性 腔隙假说 急性卒中 感觉障碍 腔隙性梗死 腔隙性卒中 辐射冠 出血性卒中 完全性 动脉阻塞 

分 类 号：R743.3[医药卫生—神经病学与精神病学]