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目的总结大脑中动脉瘤和烟雾病患者所伴发脑梗死的临床不同特点。方法回顾分析2008年6月至2009年6月北京天坛医院收治的10例大脑中动脉动脉瘤伴发脑梗死与16例烟雾病伴发脑梗死患者资料。对比分析2组患者的年龄、性别、梗死部位、梗死程度等情况。结果 10例大脑中动脉动脉瘤患者中,男4例,女6例,平均年龄(57.3±4.11)岁,伴多发腔梗死7例,累及基底节和胼胝体等区域3例,脑梗死体积(4.82±2.05)cm3。16例烟雾病患者中,男9例,女7例,平均年龄(28.6±10.06)岁,伴发脑梗死累及4个脑叶者2例,累及3个脑叶者4例,累及2个脑叶者8例,累及基底节和半卵圆中心1例,多发腔梗1例,脑梗死体积(22.3±12.06)cm3。结论大脑中动脉动脉瘤伴发脑梗死患者多为老年人,多累及脑白质深部,体积较小;烟雾病伴发脑梗死患者多为青壮年,多累及多个脑叶,体积较大。
Objective To summarize the different clinical features of cerebral infarction associated with middle cerebral artery aneurysms and moyamoya disease. Methods The data of 10 patients with cerebral artery aneurysm complicated with cerebral infarction and 16 patients with moyamoya disease with cerebral infarction admitted from Beijing Tiantan Hospital from June 2008 to June 2009 were retrospectively analyzed. Comparative analysis of two groups of patients age, gender, infarction, infarction and so on. Results Among the 10 patients with middle cerebral artery aneurysm, there were 4 males and 6 females, with an average age of 57.3 ± 4.11 years, with multiple infarcts in 7 cases, including basal ganglia and corpus callosum in 3 cases, infarct volume (4.82 ± 2.05) cm3 In the 16 patients with moyamoya disease, there were 9 males and 7 females, with an average age of (28.6 ± 10.06) years, 2 cerebral infarctions involving 4 lobes and 4 cerebral lobes involving 4 , Involving two lobes in 8 cases, involving the basal ganglia and semi-oval center in 1 case, multiple parietal infarction in 1 case, the volume of cerebral infarction (22.3 ± 12.06) cm3. Conclusion Most of the patients with middle cerebral artery aneurysm complicated with cerebral infarction are old people, involving more deep part of the white matter and smaller in size. Most of the patients with moyamoya disease and cerebral infarction are young and middle aged, with multiple brain lobes involving more and larger volume.