孤立性手结区梗死1例报告并文献复习  

Isolated infarction in the hand knob area:A case report and literature review

作　　者：陈卉 谢安劼 刘笑迎[1] CHEN Hui;XIE Anjie;LIU Xiaoying(Department of Neurology,Shanghai TCM-Integrated Hospital,Shanghai 200082,China)

机构地区：[1]上海市中西医结合医院神经内科,上海200082

出　　处：《中风与神经疾病杂志》2024年第11期1035-1038,共4页Journal of Apoplexy and Nervous Diseases

基　　金：上海中医药大学科技发展基金(23KFKP09);上海虹口区科学技术委员会重大课题(虹卫2301-02)。

摘　　要：孤立性手结区脑梗死在临床上较为少见,临床表现为病灶对侧特定群组手指的单纯性运动障碍,因肌力下降而不能伸直、屈曲、对掌运动,不伴有感觉障碍及锥体束征,临床诊疗中极易将其误诊为单侧上肢的周围神经疾病。现收集1例确诊为孤立性手结区梗死患者的病史、专科查体、实验室检查、电生理检查、头部影像及颅内外段血管影像资料进行总结,并结合文献对该疾病的临床特点、危险因素、病因及鉴别诊断进行分析。Isolated infarction in the hand knob area is a rare type of cerebral infarction in clinical practice,with the clinical manifestation of simple movement disorder in the specific group of fingers on the contralateral side of the lesion,and the patient is unable to perform extending,flexion or opposition,without sensory disturbance or pyramidal signs.It is often misdiagnosed as peripheral neurological disease of the unilateral upper limb in clinical diagnosis and treatment.This article reviews the data of one patient with a confirmed diagnosis of isolated infarction in the hand knob area,including medical history,physical examination,laboratory examination,neurophysiological examination,cranial imaging,and im⁃aging data of intracranial and extracranial vessels,and it also analyzes the clinical features,risk factors,etiology,and dif⁃ferential diagnosis of this disease with reference to relevant literature.

关 键 词：手结区梗死 手指无力 危险因素 病因分型 

分 类 号：R743[医药卫生—神经病学与精神病学]