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特鲁索综合征相关性急性脑梗死的MRI表现 被引量:4

MRI Manifestations of Acute Cerebral Infarction Associated with Trousseau Syndrome
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摘要 目的:探讨特鲁索综合征相关性急性脑梗死的MRI表现。方法:回顾性分析6例特鲁索综合征所致急性脑梗死的临床及MRI资料。结果:6例患者均有恶性肿瘤病史,2例肺癌,2例胰腺癌,1例肝癌,1例乳腺癌。6例患者血液中D-聚体水平均有明显升高。6例双侧大脑半球和(或)小脑半球皮层及皮层下、深部白质出现不对称多灶性急性脑梗死。6例病灶形态多为斑点状、小片状,无大面积病灶。4例累及前、后循环,2例累及双侧前循环。3例累及幕上、幕下,3例累及幕上。结论:特鲁索综合征相关性急性脑梗死是一种少见的脑梗死,其MRI表现具有一定的特征性。 Objective:To investigate MRI manifestations of acute cerebral infarction associated with Trousseau syndrome.Methods:Clinical features and MRI findings of 6 cases with acute cerebral infarction associated with Trousseau syndrome were retrospectively analyzed.Results:The 6 patients had a history of malignancy, including 2 cases of lung cancer, 2 cases of pancreatic cancer, 1 case of liver cancer,1 case of breast cancer. The level of D-dimer was significantly increased. The head MRI imaging showed that the 6 cases acute bilateral and(or)lateral cerebral infarction in cortical, subcortical, deep white matter. The lesions were punctate in shape without a large area. 4 cases involved anterior and posterior circulation, 2 cases involved balateral circulation. 3 case involved suptentorial and subtentorial structure, 3 cases involved subtentorial structure.Conclusion:Acute cerebral infarction associated with Trousseau syndrome is a rare kind of cerebral infarction and have certain characteristics.
作者 黎芳丽 姜卉 蒋锡丽 Li Fangli;Jiang Hui;Jiang Xili(Brain Hospital of Hunan Province,Changsha,Hunan 410007)
机构地区 湖南省脑科医院
出处 《现代医用影像学》 2020年第5期843-846,共4页 Modern Medical Imageology
关键词 特鲁索综合征 脑梗死 磁共振成像 Trousseau syndrome Cerebral infarction Magnetic resonance imaging
作者简介 黎芳丽,女,湖南株洲人,硕士,医师,研究方向:中枢神经系统影像学。
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