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Results The clinical manifestations of TOBS comprised transient unconsciousness, vertigo, dyskinesia of eyeball, abnormality of pupils, dyskinesia of limbs, hemianopsia or cortical blindness, ataxia and memory impairment. MRI showed the local infarction in thalami, cerebellum, midbrain, pons, occipital lobe, temporal inner surface. The features of DSA were occlusion or stenosis in basilar artery and vertebral artery.

结果 TOBS的临床主要表现为一过性意识障碍、眩晕、眼球运动障碍及瞳孔的变化、肢体运动障碍、偏盲或皮质盲、共济失调及记忆功能损害;磁共振显示梗死灶在丘脑、小脑、中脑、脑桥、枕叶、颞叶内侧面;数字减影血管造影显示为基底动脉及椎动脉闭塞或狭窄。

And (20. 5 ± 1.7) ml· 100 g-1 ·min-1, respectively. When compared in 3 groups, the temporal and parietal lobe rCBF had a decreasing tendency in aMCI group, while in VCI-ND group, the most dominant decreasing parts were mainly concentrated in white matter region (17. 7±2. 3 ml·100 g-1·min-1, F = 5. 740, P = 0. 002. Whatever the depth or the width was, beth periventricular and subeortical deep white matter, anterior and posterior ventricular regions were all involved. There are no dominant difference of rCBF in caudate nucleus, lentiform nucleus and thalamus.

2NC组、aMCI组和VCI-ND组患者的rCBF表现比较:aMCI组颞、顶、枕叶的rCBF值呈一定趋势的减少,VCI-ND组额叶的rCBF值呈一定趋势的减少,而VCI-ND组rCBF下降最明显的部位集中在白质区域[(17.7±2.3)ml·100 g-1·min-1,F=5.740,P=0.002],从深度看覆盖了脑室旁白质和皮质下深部白质两部分,从长度看覆盖了白质的前后区域。3组基底节区核团包括尾状核、豆状核和丘脑的rCBF值比较差异无统计学意义。

RESULTS: Aggressie behaior was found in 3 patients (7.3%) among 41 patients with posterior cerebral artery stroke. One patient had right occipitotemporal and entrolateral thalamic stroke. The second patient had left occipitotemporal and lateral thalamic stroke. The third patient had right isolated occipital stroke.

结果:41例患有大脑后动脉卒中的病人中有3例(7.3%)发现有攻击性行为。1例患有右枕颞和丘脑腹外侧卒中,另1例患有左枕颞和丘脑外测卒中,第3例病人仅有右枕叶卒中。

Although classic neuroimaging features of RPLS with involvement of the posterior head regions are easily recognized, features that may generally be regarded as atypical were often present in our patients, such as significant anterior involvement, cortical lesions, recurrent RPLS episodes, foci of permanent injury, hemorrhage into lesions, and unilaterality (Figure 1). High signal intensity on T2-weighted image lesions can occur in regions other than the parieto-occipital areas, frequently involving the frontal lobes, basal ganglia, thalami, or brainstem.

可逆性后部白质脑病综合征典型的神经影像学表现为大脑后部受累,尽管这一点很早就被公认;但可逆性后部白质脑病综合征不典型的神经影像学表现,在本文的患者中则更常见,如:大脑前部明显受累、皮层出现病灶、可逆性后部白质脑病综合征再次发作、脑永久性损伤灶形成、病灶内出血、仅见单侧病灶(图1);T2像常可于额叶、基底节区、丘脑、脑干等顶-枕叶以外的区域见高信号病灶。

Results 7 patients accept skull CT/or MRI,There were 5 patients who had caudate nucleus and putamen injury in differ 3patients had Thalamus injury 2 patients were watershed with temporal-occipital lobe symptoms of all patients were able to control by take orally Haloperidol and Nitrazepam.

节果 7例均行头颅CT/或MRI检查,其中5例不同程啡累及尾状核和壳核,累及丘脑者3例,2例为累及颞枕叶的分水岭梗死,所有患者口服氟哌啶醇和硝基安定治疗,症状均能得到控制。

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