| 颜谈.以手口综合征为唯一临床表现的脑梗死4例临床分析并文献复习[J].安徽医药,待发表. |
| 以手口综合征为唯一临床表现的脑梗死4例临床分析并文献复习 |
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| 投稿时间：2023-04-11 录用日期：2023-05-29 |
| DOI： |
| 中文关键词: 脑梗死 手口综合征 临床特点 危险因素 治疗 预后 |
| 英文关键词: |
| 基金项目:安徽医科大学校科研基金 |
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| 摘要点击次数: 165 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的 分析4例以手口综合征为唯一临床表现的脑梗死的疾病特点，提高大家对该综合征的认识，避免漏诊、误诊。方法 回顾性总结于2020.04-2022.12我科收治的4例以手口综合征为唯一临床表现的脑梗死患者的人口学信息、既往史、临床表现、入院时NIHSS评分、TOAST病因分型、头颅MRI所示病变部位、头颈部血管成像、治疗方式及长期预后等资料。结果 4例患者均存在至少1种脑梗死高危因素，均表现为同侧口周手部麻木症状，均为腔隙性脑梗死且均为轻型卒中，头颈部血管壁存在斑块或狭窄，给予抗栓、调脂固斑等治疗，2例长期预后留有感觉障碍后遗症，2例无任何后遗症。结论 手口综合征最常见于脑梗死患者，该类型脑梗死与其他类型的脑梗死危险因素、TOAST分型、治疗及预后方面存在共性，然而局限性的手口麻木为其特有临床表现。 |
| 英文摘要: |
| Objective the characteristics of 4 cases of cerebral infarction with Cheiro-Oral syndrome as the only clinical manifestation were analyzed, in order to improve understannding of the syndrome and avoid underdiagnosis?and?misdiagnosis. Methods The demographic information, previous history, clinical manifestations, NIHSS score on admission, TOAST etiological classification, lesion sites shown in magnetic resonance imaging, head and neck angiography, treatment methods and long-term prognosis of 4 cerebral infarction patients with cheiro-Oral syndrome as the only clinical manifestation admitted to our department from 2020.04 to 2022.12 were retrospectively summarized.Results All the 4 patients had at least one risk factor for cerebral infarction, symptoms of ipsilateral perioral and hand numbness, lacunar cerebral infarction and mild stroke, with plaque or stenosis in the vascular wall of the head and neck, and were treated with anti-thrombolysis and lipid-controlling plaque fixation. 2 cases had sequelae of sensory disturbance in the long term prognosis, and 2 cases had no sequelae.Conclusions Cheiro-Oral syndrome is most commonly seen in patients with cerebral infarction. There are similarities between this type of cerebral infarction and other types of cerebral infarction in terms of risk factors, TOAST classification, treatment and prognosis. However, limited cheiro-Oral numbness is its unique clinical manifestation. |
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