学术
摘 要:
目的探讨血管性帕金森综合征（VP）患者的临床与MRI的特点。方法对41例VP患者的临床表现及MRI结果进行回顾性分析。结果本研究中多数患者有高血压、动脉粥样硬化及脑卒中史。临床表现以肌强直、少动为主，静止性震颤相对少见，常伴有智能障碍、假性球麻痹、尿失禁等。MRI以基底节区、脑室周围多发性腔隙性脑梗死为主，常伴脑萎缩、白质疏松。结论VP的临床表现以肌强直、少动为主，静止性震颤少见；MRI主要为基底节区、脑室周围多发性腔隙性梗死。[著者文摘]
文章出处:
《中华老年心脑血管病杂志》-2008年10卷2期 -122-124页
栏目信息:
分 类 号:
文献标识码:
A
文章编号:
1009-0126（2008）02-0122-03
Clinical and MRI study on vascular parkinsonism
WANG Guo-ping,JIANG Yan,LI Huai-yu,et al （Department of Neurology ,Anhui Provincial Hospital, Hefei 230001 ,China）
Abstract:
Objective To explore the clinical features and the imaging changes of vascular parkin-sonism（VP）. Methods Clinical manifestations and MRI changes were retrospectively investigated in 41 patients with VP. Results Most of the patients had the history of hypertension,atheroscle- rosis or stroke. The patients with VP were more likely to present bradykinesia rigidity rather than rest tremor. In addition,they were likely to have dementia,bulbar pseudoparalysis and urinary incontinence. MRI changes mainly displayed multiple lacunar infarcts in basal ganglia and periven-tricular cerebral white matter, frequently accompanied with cerebral atrophy or leukoaraiosis. Conclusions The clinical manifestation of VP is mainly bradykinesia rigidity rather than rest tremor. Multiple lacunar infarcts in basal ganglia and periventricular cerebral white matter are the main MRI changes.[著者文摘]
Key words:
Parkinson disease; magnetic resonance imaging; myotonia; tremor; brain infarction;blood vessels
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