表现为血管性孤立性眩晕的早期弥散加权成像阴性后循环缺血性卒中  

Early diffusion-weighted imaging-negative posterior circulation stroke presenting as isolated vascular vertigo

作　　者：张道培 王伟涛 刘飞祥 张怀亮[1] 朱明军[1] Zhang Daopei;Wang Weitao;Liu Feixiang;Zhang Huailiang;Zhu Mingjun(Department of Encephalopathy,the First Affiliated of Henan University of Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院脑病科,郑州450000

出　　处：《国际脑血管病杂志》2020年第3期206-211,共6页International Journal of Cerebrovascular Diseases

基　　金：国家重点研发计划重点专项(2019YFC1710001,2019YFC1710003)。

摘　　要：后循环缺血性卒中可表现为孤立性眩晕,而且后循环小梗死灶常表现为早期弥散加权成像阴性,容易造成误诊和漏诊。总结这部分患者的特点和筛查策略,能为及时诊断和有效治疗策略的选择提供帮助。Posterior circulation ischemic stroke can be manifested as isolated vertigo,and the posterior circulation small infarcts often show early negative diffusion-weighted imaging,which is likely to cause misdiagnosis and missed diagnosis.Summarizing the characteristics and screening strategies of these patients can provide help for timely diagnosis and selection of effective treatment strategies.

关 键 词：眩晕 卒中 脑缺血 椎基底动脉供血不足 脑干梗死 小脑疾病 弥散磁共振成像 假阴性反应 

分 类 号：R4[医药卫生—临床医学] R74