右侧穹窿柱梗死一例  

Right fornix column infarction:a case report

作　　者：张亚倩 周凤 王俊峰[1] 王国杰[2] 林笑哈[1] Zhang Yaqian;Zhou Feng;Wang Junfeng;Wang Guojie;Lin Xiaoha(Department of Neurology,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China;Department of Radiology,the Fifth Affiliated Hospital of Sun Yat-Sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院神经内科,珠海519000 [2]中山大学附属第五医院放射科,珠海519000

出　　处：《中华神经科杂志》2021年第8期828-832,共5页Chinese Journal of Neurology

摘　　要：孤立性穹窿梗死在脑梗死中非常少见。现报道1例2020年3月确诊的以急性顺行性遗忘为唯一表现的右侧穹窿柱梗死患者,临床症状表现为对近期发生的事情不能回忆,重复言语。头颅磁共振成像提示右侧穹窿柱梗死,弥散张量成像显示右侧穹窿纤维束减少,按脑梗死常规治疗及改善智能治疗后患者症状明显好转。Isolated fornix infarction is very rare in cerebral infarction.A case of right column fornix infarction with acute anterograde amnesia as the only manifestation who was diagnosed in the Fifth Affiliated Hospital of Sun Yat-Sen University in March 2020 was presented.The clinical symptoms were the inability to recall recent events,repeated speech.Head magnetic resonance suggested right fornix column infarction and diffusion tensor imaging showed reduction of right fornix fiber bundles.The symptoms improved significantly after conventional treatment of cerebral infarction and improving intelligence treatment.

关 键 词：脑梗死 穹窿 脑 顺行性遗忘 

分 类 号：R743.3[医药卫生—神经病学与精神病学]