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首页> 美国卫生研究院文献>The Journal of Neurology and Psychopathology >Clinical and topographical range of callosal infarction: a clinical and radiological correlation study.
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Clinical and topographical range of callosal infarction: a clinical and radiological correlation study.

机译：os部梗死的临床和地形范围：一项临床和放射学相关性研究。

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摘要

A prospective clinical and radiological correlation study was performed to determine the frequency, and the clinical and radiological features of callosal infarction. From 1 January 1993 to the end of December 1993 282 cases of cerebral infarction seen in the Neurology service of the University Hospital of Dijon were studied prospectively. Eight cases with callosal ischaemic lesions were identified by CT and MRI. A callosal disconnection syndrome occurred in only five of eight patients, related to a single, large infarct or several infarctions in the anterior part of the corpus callosum. Clinical features were characterised by left ideomotor apraxia, construction apraxia, and left agraphia in all five cases. Alien hand was noted in only two cases. There were gait disorders in three cases with MRI features of multiple lacunes in a large part of the corpus callosum, and also the subcortical areas of both hemispheres. It is emphasised that callosal infarctions are not rare and that they contribute to the clinical features of strokes. As well as the classic incomplete callosal disconnection syndrome, these callosal ischaemic lesions may induce non-specific gait disorders.
机译：进行了一项前瞻性临床和放射学相关性研究，以确定call骨梗死的发生频率以及临床和放射学特征。从1993年1月1日至1993年12月底，对第戎大学医院神经内科所见的282例脑梗塞病例进行了前瞻性研究。通过CT和MRI鉴定出8例call部缺血性病变。八例患者中只有五例发生call断开综合征，与to体前部的单个大梗死或多个梗死有关。在所有五例病例中，临床特征均以左意识运动性失用，构造性失用和左失语为特征。仅在两种情况下注意到外来手。三例在cases体大部分以及两个半球的皮层下区域均表现出多处腔室MRI特征的步态障碍。需要强调的是call部梗死并不罕见，它们有助于中风的临床特征。除了典型的不完全性os骨断开综合征外，这些call骨缺血性病变也可能诱发非特异性步态障碍。

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