| 汪瑞,罗厚江.以谵语为临床表现的儿童烟雾病合并大面积脑梗死 1例及文献复习[J].安徽医药,2019,23(11):2230-2232. |
| 以谵语为临床表现的儿童烟雾病合并大面积脑梗死 1例及文献复习 |
| Clinical manifestations of delirium in children with moyamoya disease with massive cerebral infarction:a case report and literature review |
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| DOI：10.3969/j.issn.1009?6469.2019.11.028 |
| 中文关键词: 烟雾病 脑血管造影术 脑血管重建术 谵语 儿童 |
| 英文关键词: Moyamoya disease Cerebral angiography Cerebral revascularization Delirious speech Children |
| 基金项目:安徽省教育厅高等学校省级质量工程项目( 2017jyxm1404)；蚌埠医学院校级本科教学质量工程项目( 201jyxm76) |
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| 中文摘要: |
| 目的通过报道 1例以谵语为临床表现的儿童烟雾病合并大面积脑梗死病例的诊断过程，提高儿科医生对儿童烟雾病的重视和对儿童烟雾病临床表现的认识程度。方法回顾性分析 1例以谵语为临床表现的儿童烟雾病合并大面积脑梗死病例的临床资料与诊疗过程。结果病儿 12岁，男性，以谵语为主要临床表现。头颅 CT示左侧大脑半球大面积脑梗死；颅脑 MRI+MRA诊断:(1)烟雾病，并右侧一向前上纵形畸形血管；(2)左侧颞顶枕叶大片异常信号灶，考虑急性缺血、缺氧并梗死改变，感染性病变不除外。确立诊断为烟雾病，脑梗死。后转至神经外科行联合血管重建术治疗，经随访病儿恢复状况良好。结论儿童烟雾病临床表现以肢体无力、感觉障碍等为常见症状，以谵语为临床表现较为少见。临床工作中应提高儿科医师对儿童烟雾病的重视程度，对不明原因谵语、精神障碍、发热、头痛、癫痫发作等表现者，在排除其他病因后，应早做影像学检查并行及时有效处理，尽快的确诊病儿。 |
| 英文摘要: |
| Objective Reported by 1 case with delirious speech as the clinical manifestations of the diagnosis of moyamoya diseasein children with large area cerebral infarction cases process was reported，by which to improve the pediatrician’s emphasis on moy? amoya disease in children and the awareness of clinical manifestations of children moyamoya disease.Methods The clinical data and the diagnosis and treatment of a case of childhood moyamoya disease with large area cerebral infarction were retrospectively an?alyzed.Results The children were 12 years old，male，with delirious speech as the main clinical manifestation.Skull CT showedlarge cerebral infarction in the left hemisphere.Brain MRI+MRA diagnosis:1.Moyamoya disease，and on the right side of a longitu? dinal deformed blood vessel.2.Large abnormal signal foci of the left temporal occipital lobe，considering acute ischemia，hypoxiaand infarction changes，with no exception of infectious lesions.Establish a diagnosis of moyamoya disease，cerebral infarction.The patient was transferred to neurosurgery and treated with combined vascular reconstruction.The patient recovered well after follow?up. |
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