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目的分析不同部位丘脑梗死的临床特点。方法分析33例丘脑梗死患者的头颅磁共振(MRI)图像与临床特征,根据解剖学与临床的关系进行分析。结果 10例丘脑结节动脉梗死患者主要表现为偏瘫、偏身感觉障碍和构音障碍;13例丘脑膝状体动脉梗死主要表现为偏瘫和偏身感觉障碍;7例丘脑旁正中动脉梗死主要表现为偏瘫、动眼神经麻痹;3例脉络膜后动脉梗死主要表现为偏瘫和意识障碍。结论不同类型的丘脑梗死表现为不同的临床特征,具体症状与梗死发生的责任动脉区域有关。
Objective To analyze the clinical features of thalamic infarction in different parts. Methods Magnetic resonance imaging (MRI) and clinical features of 33 patients with thalamic infarction were analyzed and analyzed according to the relationship between anatomy and clinic. Results 10 cases of thalamic nodal artery infarction mainly showed hemiparesis, hemifacial sensation and dysarthria. Thirteen cases of thalamic kyphic artery infarction were mainly hemiparesis and hemifacial sensation, and 7 cases were the main manifestation Hemiparesis, oculomotor nerve paralysis; 3 cases of post-choroidal artery infarction mainly for hemiplegia and disturbance of consciousness. Conclusions Different types of thalamic infarction show different clinical features, and the specific symptoms are related to the area of responsible artery in which infarction occurs.