首页|卵圆孔未闭相关性隐源性脑卒中的神经影像学特征分析

卵圆孔未闭相关性隐源性脑卒中的神经影像学特征分析

扫码查看
目的 探讨卵圆孔未闭(PFO)相关性隐源性脑卒中的神经影像学特征.方法 回顾性分析2021年3月至2022年11月急性缺血性脑卒中住院患者,共筛选出隐源性脑卒中患者101例,根据右心声学造影结果分为PFO(-)卒中组50例与PFO(+)卒中组51例,对比组间临床资料及神经影像学特征.结果 PFO(+)卒中组反常栓塞风险评分高于PFO(-)卒中组(t=2.203,P=0.030).与PFO(-)组相比较,PFO(+)卒中患者脑梗塞病灶数量更多(x2=6.163,P=0.013),且病灶多为<15mm(x2=4.738,P=0.030);两组间梗塞灶分布、累及血管的比较均无明显差异(均P>0.05).结论 PFO相关性隐源性脑卒中的神经影像学特征为多发细小梗塞灶,能够作为隐源性脑卒中病因诊断的影像学证据,有助于临床诊疗决策.
Imaging Characteristics of Cryptogenic Strokes Related to Patent Foramen Ovale
Objective To investigate the imaging features of cryptogenic stroke related to patent foramen ovale(PFO).Methods A total of 101 patients with cryptogenic stroke were collected from 2021.03 to 2022.11 for acute ischemic stroke.According to contrast echocardiography results,51 cases were divided into PFO(+)group and 50 cases into PFO(-)group.The general clinical data and imaging characteristics between two groups were compared.Results The risk of paradoxical embolism score of PFO(+)group was higher than those of PFO(-)group(t=2.203,P=0.030).Compared with PFO(-)group,the number of cerebral infarct lesions was higher in patients with PFO(+)group(x 2=6.163,P=0.013),and the lesions were mostly<15mm(x2=4.738,P=0.030).The distribution of infarct and vascular territory involved presented no statistical differences among two groups(both P>0.05).Conclusion cryptogenic stroke related to PFO show more infarction and higher frequency of small lesions.

Patent Foramen OvaleCryptogenic StrokeContrast EchocardiographyDiffusion-weighted Imaging

张洁、谢玉环、梁灼源、罗维远

展开 >

东莞市莞城医院放射科(广东东莞 523000)

东莞市莞城医院超声科(广东东莞 523000)

南方医科大学附属东莞医院神经内科(广东东莞 523000)

卵圆孔未闭 隐源性脑卒中 右心声学造影 弥散加权成像

东莞市社会发展科技项目

20221800901282

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(4)
  • 20