57例老年人无肢体瘫痪脑梗塞临床与CT分析

A clinical analysis of 57 senile patients with cerebral infarction free of limbs hemiplegia and their CT scan

目的 探讨老年人无肢体瘫痪脑梗塞临床与CT的关系。方法 对57例老年人无肢体瘫痪脑梗塞的发病诱因,临床表现及CT进行回顾性分析。结果 高血压、TIA、高血脂、冠心病仍为无肢体瘫痪脑梗塞的重要危险因素。结论 肢体瘫痪的发生与否是和传导通路,梗塞部位和病灶大小有关,而与梗塞数目无关。在无MRI条件时,早期头颅CT扫描是诊断的唯一依据。

Objective To study the relation of clinical manifestation and CT scan in 57 senile patients with cerebral infarction free of limbs hemiplegia. Methods We reviewed the clinical and radiological data and analysed the relation of causes and clinical manifestation and CT scan in 57 senile cases of cerebral infarction without limbs hemiplegia. Results All the hypertension, TIA, hyperlipidemia and coronary heart disease are still the most important risk factors for the patients with cerebral in farction free of limbs hemiplegia. Conclusion The incidence had a bearing on the condu ctive pathway infarcted position,and its sige,but did not concern the number of the infarced focuses. In the early period CT scan might be used as a means of diagnosis while there was no MRI set.