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中华脑血管病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (06) : 447 -450. doi: 10.11817/j.issn.1673-9248.2022.06.013

病例报告

以急性遗忘综合征为临床表现的双侧穹隆柱梗死一例
谢子珍1, 邓亚萍2, 石海涛1, 周鹏1, 方凯1, 于逢春3,()   
  1. 1. 332100 杭州,浙江萧山医院神经内科
    2. 332100 杭州,浙江萧山医院GCP病房
    3. 100080 北京,北京市海淀医院神经内科
  • 收稿日期:2022-09-02 出版日期:2022-12-01
  • 通信作者: 于逢春
  • 基金资助:
    2020年度萧山区重大科技计划项目(社会发展重大科技计划项目)(2020209)

Bilateral infarction in columns of fornix featured with acute amnestic syndrome: a case report

Zizhen Xie1, Yaping Deng2, Haitao Shi1   

  • Received:2022-09-02 Published:2022-12-01
引用本文:

谢子珍, 邓亚萍, 石海涛, 周鹏, 方凯, 于逢春. 以急性遗忘综合征为临床表现的双侧穹隆柱梗死一例[J]. 中华脑血管病杂志(电子版), 2022, 16(06): 447-450.

Zizhen Xie, Yaping Deng, Haitao Shi. Bilateral infarction in columns of fornix featured with acute amnestic syndrome: a case report[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2022, 16(06): 447-450.

图1 2020年12月5日患者头颅CT检查。图a:双侧颞叶海马未见异常;图b:双侧穹隆柱可疑低密度(如箭头所示);图c:双侧基底节区及脑室旁未见明显异常;图d:双侧皮层及皮层下未见明显病变
图2 2020年12月5患者头颅核磁:图a:DWI可见双侧穹隆柱高信号(如箭头所示);图b:DWI可见双侧穹隆联合高信号(如箭头所示);图c:T2flair可见双侧穹隆柱稍高信号(如箭头所示);图d:T2flair可见双侧穹隆联合稍高信号(如箭头所示)注:DWI为弥散加权成像
图3 2020年12月6日患者颈部血管CTA及颅内MRA。图a:左侧椎动脉为非优势侧,颅外血管未见明显狭窄;图b:ACoA可见狭窄,箭头处可见显影不佳;图c:MRA原始图可见前交通动脉充盈缺损,如箭头所示;图d:MRA显示ACoA可见狭窄,箭头处ACoA显影淡注:CTA为CT血管成像;MRA为磁共振血管造影;ACoA为前交通动脉
图4 2020年12月6日颈内动脉超声。图a:可见右侧颈动脉斑块形成(如箭头所示);图b:提示左侧颈内动脉血流通畅
表1 简易精神状态检查量表得分(满分30分)
表2 蒙特利尔认知评估量表得分(满分30分)
图5 ScA血供示意图。ScA起源于AcoA,供应胼胝体下方组织,箭头处为ScA的细小分支供应穹隆柱注:ScA为胼胝体下动脉;AcA为大脑前动脉;AcoA为前交通动脉
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