以急性遗忘综合征起病的脑梗死一例  

Cerebral infarction with acute amnesia syndrome:a case report

作　　者：刘睿婷 王诗睿 张潇文 刘首宏 李晓琳 李伟 Liu Ruiting;Wang Shirui;Zhang Xiaowen;Liu Shouhong;Li Xiaolin;Li Wei(Department of Neurology,Jinan Hospital,Xuanwu Hospital,Capital Medical University,Central Hospital Affiliated to Shandong First Medical University,Jinan Central Hospital,Jinan 250000,China;不详)

机构地区：[1]首都医科大学宣武医院济南医院、山东第一医科大学附属中心医院、济南市中心医院神经内科,250000 [2]首都医科大学宣武医院济南医院、山东第一医科大学附属中心医院、济南市中心医院卒中中心,250000

出　　处：《中国脑血管病杂志》2024年第9期626-628,共3页Chinese Journal of Cerebrovascular Diseases

基　　金：山东省自然科学基金(ZR2023MH371)。

摘　　要：急性遗忘综合征可表现为短暂或持续的单一遗忘症状,也可伴有其他神经系统症状,进而导致不可逆的脑损伤。急性缺血性卒中的典型症状包括突发偏瘫、失语、感觉障碍等。急性遗忘症状并非急性缺血性卒中的典型症状,在急诊诊治过程中容易被误诊或延迟诊断。作者回顾性分析了1例以急性遗忘综合征起病的脑梗死患者的病例资料,并结合相关文献,探讨其临床特点及发病机制,以期为急诊及神经科医师对类似病例的诊疗提供参考。Acute amnestic syndrome manifests as transient or persistent symptoms of single amnesia,which may also be accompanied by other neurological symptoms,eventually leading to irreversible brain damage.The typical symptoms of acute ischemic stroke include hemiplegia,aphasia,sensory disturbances,and so forth.Acute amnesia is not a typical symptom of acute ischemic stroke,and it is easy to misdiagnose or delay diagnosis in the emergency department.The authors retrospectively analyzed the clinical data of a patient with acute cerebral infarction who started with acute amnesia syndrome,and combined with relevant literature,to explore its clinical characteristics and pathogenesis.The purpose of this article is to provide reference for emergency physician and neurologist in the diagnosis and treatment of similar cases.

关 键 词：脑梗死 遗忘 穹窿 

分 类 号：R743.33[医药卫生—神经病学与精神病学]