卒中预警综合征的研究进展

Progress in Research on Stroke Warning Syndrome

卒中预警综合征(SWS)是缺血性脑卒中的一种特殊类型,其特征是刻板、逐渐加重、反复发作的短暂性局灶性神经系统功能缺损。根据其临床表现及影像学特点,可分为内囊、脑桥和胼胝体预警综合征。由于SWS的病理生理机制复杂,目前尚未完全阐明,提出的多种治疗方法也缺乏确凿证据,使得不少此类疾病最终进展为脑梗死。文中主要就SWS的临床分型及特点、病理生理机制、治疗及预后等研究进展进行综述。

Stroke warning syndrome( SWS) is a special type of stroke characterized by stereotyped,crescendo,recurrent,and short lasting episodes of transient focal neurological deficits. According to their clinical manifestations and influencing characteristics,they can be divided into capsular,pontine and callosum warning syndrome. As the pathophysiological mechanism of SWS is complex,it has not yet been fully elucidated and the proposed multiple treatment methods also have no conclusive evidence,leading to the progression of many of these diseases to cerebral infarction. This article reviewed SWS clinical classification and characteristics,pathophysiological mechanisms,treatment and prognosis.