增殖性脑血管病致脑梗死一例报道并文献复习

发布时间：2019-03-20 13:07

【摘要】：动脉粥样硬化后脑血管管腔狭窄乃至闭塞是脑梗死最常见原因,本文报道1例增殖性脑血管病(CPA)致脑梗死患者,患者脑梗死区域血管较正常脑组织丰富。通过文献复习,对CPA患者的临床表现、影像学表现、血管造影、病理、发病机制、治疗和预后进行讨论。目前,文献报道CPA致脑梗死病例较少,颅脑CT血管成像可见病灶区血管异常丰富,应根据患者具体情况制定个体化治疗方式,预后尚难以评估。
[Abstract]:Stenosis or occlusion of cerebral vascular lumen after atherosclerosis is the most common cause of cerebral infarction. This paper reports a case of cerebral infarction caused by proliferative cerebrovascular disease (CPA), in which there are more blood vessels in the cerebral infarction area than in the normal brain tissue. The clinical manifestations, imaging findings, angiography, pathology, pathogenesis, treatment and prognosis of patients with CPA were reviewed. At present, it is reported that there are few cases of cerebral infarction caused by CPA and abnormal blood vessels can be seen on CT angiography of the brain. The individualized treatment should be made according to the specific conditions of the patients, and the prognosis is still difficult to evaluate.
【作者单位】： 西南医科大学附属医院神经内科;乐山市人民医院风湿免疫科;西南医科大学附属医院放射科;泸州市人民医院放射科;
【分类号】：R743.33
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本文编号：2444242