Percheron动脉闭塞所致双侧丘脑梗死临床特征(附5例临床报告)  

Clinical characteristics of bilateral thalamic infarction due to artery of Percheron occlusion:report on 5 clinical cases

作　　者：童晓琼[1] 吴历[1] 彭乔君 杨子昕 张莉[1] 王晓明[1] Xiaoqiong TONG;Li WU;Qiaojun PENG;Zixin YANG;Li ZHANG;Xiaoming WANG(Department of Neurology,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000;Clinical Medical College North Sichuan Medical College,Nanchong,Sichuan 637000)

机构地区：[1]川北医学院附属医院神经内科,四川南充637000 [2]川北医学院临床医学院,四川南充637000

出　　处：《阿尔茨海默病及相关病杂志》2022年第4期291-294,共4页Chinese Journal of Alzheimer's Disease and Related Disorders

基　　金：南充市科技局市校合作项目“基于“互联网+”急危重症心脑血管救治平台建设(19SXHZ0431)。

摘　　要：目的:观察Percheron动脉闭塞所致双侧丘脑梗死的临床特点,并对其认知障碍进行评估,以有利于该疾病的早期诊断和治疗。方法:回顾分析了2014年1月~2022年1月本院收治的5例基于临床和影像学确诊Percheron动脉闭塞所致双侧丘脑梗死患者,所有患者在入院时和出院时均接受了神经心理学评估。结果:5例双侧丘脑梗死的患者包括3例女性和2例男性,年龄为56岁~84岁(中位数为79岁),磁共振成像显示所有患者为双侧丘脑梗死,均考虑由Percheron动脉闭塞所致。5例患者均出现认知功能障碍,4例患者病程中出现不同程度的意识障碍,1例患者出现双眼垂直凝视麻痹。结论:Percheron动脉闭塞所致双侧丘脑梗死有其相应的临床及认知障碍特征,应重视对该疾病的早期诊断及其治疗。Objective:To characterize the clinical features of bilateral thalamic infarction due to artery of Percheron occlusion(AOP infarction)and assess cognitive impairment for the early diagnosis and timely treatment.Methods:A retrospective study of 5 cases(3 females,age range 56~84)of AOP infarction was performed.The data was collected between January 2014 and January 2022.The five cases were diagnosed by clinical diagnosis and imaging confirmation.All the patients underwent neuropsychological assessment on admission and at discharge.Results:Based on the imaging data,all cases were found to have bilateral thalamic infarctions affected by Percheron artery occlusion.Specifically,5 cases suffered cognitive dysfunction;4 cases suffered conscious disturbance;and 1 cases suffered binocular vertical gaze paralysis.Conclusion:AOP infarction is characterized by cognitive dysfunction.In addition,earlier diagnose and treatment should be given high attention.

关 键 词：Percheron动脉 双侧丘脑梗死 认知障碍 

分 类 号：R74[医药卫生—神经病学与精神病学]