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交叉性小脑神经机能联系不能1例报道并文献复习

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交叉性小脑神经机能联系不能(crossed cerebellar diaschisis,CCD)是指当一侧大脑半球发生病变时,病灶对侧小脑半球出现血流量减少、葡萄糖氧化代谢水平下降的功能障碍,严重时甚至可能出现交叉性小脑萎缩的现象.CCD在临床工作中易被忽略或误诊.本文报告1例因左侧幕上脑梗死出现CCD导致左侧肢体共济失调以及认知功能障碍加重的病例,通过文献综述,阐明CCD的发生机制、临床特点及影响因素,为临床提供借鉴.
Crossed Cerebellar Diaschisis:A Case Report and Literature Review
The crossed cerebellar diaschisis(CCD)is a condition characterised by reduced blood flow and decreased oxidative metabolism of glucose in the contralateral cerebellar hemisphere following a lesion in one cerebral hemisphere,potentially resulting in crossed cerebellar atrophy in severe cases.It is easy to be overlooked or misdiagnosed in clinical practice.This paper presents a case of ataxia on the left side and worsening cognitive dysfunction resulting from left supratentorial cerebral infarction-induced CCD.The pathogenesis,clinical characteristics,and influencing factors of CCD were elucidated through the literature review to provide references for clinical practice.

Crossed cerebellar diaschisisCerebral infarctionAtaxiaCognitive dysfunction

刘洋、陈鹏、张林、李越秀、张玉梅

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北京 100070 首都医科大学附属北京天坛医院神经病学中心

湖北医药学院附属太和医院神经康复中心

首都医科大学附属北京天坛医院康复医学科

交叉性小脑神经机能联系不能 脑梗死 共济失调 认知功能障碍

国家自然科学基金面上项目

82372555

2024

中国卒中杂志
中国科学技术信息研究所(ISTIC) 科学技术文献出版社

中国卒中杂志

CSTPCD北大核心
影响因子:1.069
ISSN:1673-5765
年,卷(期):2024.19(7)