双侧穹隆柱脑梗死1例报告

Bilateral Fornix Column Cerebral Infarction:A Case Report

该文报告1例双侧穹隆柱脑梗死患者治疗经过,患者以顺行性遗忘为主要表现,头颅MRI提示双侧穹隆柱梗死,予抗血小板聚集、稳定斑块、降压降糖、改善循环、营养神经、建立侧支循环等药物治疗,病情逐渐好转后出院。出院3个月后回访,患者各项指标均达标,各项量表评分较发病时明显提高,生活质量未下降。临床针对单纯记忆障碍患者,一般可以根据临床病史,急性起病特征及头颅MRI进行鉴别,除阿尔茨海默病、路易体痴呆、血管性痴呆等诊断外,还应该警惕双侧穹隆柱梗死。

This paper reported the treatment of a patient with bilateral fornix column cerebral infarction.Anterograde amnesia was the main manifestation of the patient.Head MRI indicated bilateral fornix column infarction.The patient was treated with drugs such as anti-platelet aggregation,plaque stabilization,blood pressure and glucose reduction,circulation improvement,nerve nutrition,and collateral circulation establishment,the patient was discharged after condition gradually improved.Three months after discharge,all the indicators were up to standard,the scores of all scales were significantly improved compared with the onset,and the quality of life did not decline.For patients with simple memory disorders,they can generally be distinguished according to clinical history,acute onset characteristics and head MRI.In addition to Alzheimer's disease,lewy body dementia,vascular dementia and other diagnoses,bilateral fornix column infarction should also be vigilant.