胼胝体梗死10例临床分析

Clinical Analysis of 10 Patients with Callosal Infarction

目的探讨胼胝体病变的临床表现特点。方法对10例胼胝体梗死患者的临床资料进行回顾性分析。结果10例患者中8例有高血压、糖尿病。胼胝体病变的临床表现较复杂,包括言语障碍、情感淡漠、左手失写、左手运动性失用、陌生手综合征、半侧空间忽略、步态失调、感觉和运动异常等。结论高血压和糖尿病是胼胝体卒中的高危因素。胼胝体梗死可出现各种不同的高级神经功能受累表现。

Objective To explore the clinical characteristics of callosal infarction. Methods We retrospectively analyzed the clinical data of 10 patients with callosal infarction. Results Eight of 10 patients had hypertension and/or diabetes mellitus. Callosal infarction was characterized by allolalia, apathy, agraphia and ideomotor apraxia in the left hand, alien hand syndrome, hemispatial neglect, gait apraxia, and sensation and motion abnormality. Conclusion Hypertension and diabetes mellitus are high risk factors for callosum infarction. Patients with callosal infarction have different manifestations of higher cortical dysfunction.