The cerebral syndromes associated with dissecting aneurysm of the aorta. A clinicopathological study.
The cerebral syndromes associated with dissecting aneurysm of the aorta. A clinicopathological study.
复制标题
与主动脉夹层动脉瘤相关的脑综合征。
DOI：
10.1093/brain/91.1.173
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发表时间：
1968
期刊：
影响因子：
--
通讯作者：
D. Price
中科院分区：
文献类型：
--
作者：
T. Chase;N. Rosman;D. Price
主动脉近端夹层动脉瘤常引起脑血流突然受损，表现为中风发作的神经系统疾病。脑功能紊乱的体征通常在此类病例的临床表现中占主导地位，从而往往使原发病变的识别变得模糊。虽然许多临床报告指出，大脑可能会受到影响的频率在主动脉夹层，只有12例这样的情况下，有一个完整的尸检的大脑和主要分支的主动脉弓。由于最近发展的外科技术已大大改善预后的主动脉夹层，必要的及时和准确的诊断已承担非常重要的。本文报告16例主动脉夹层动脉瘤合并脑功能障碍的临床和病理特点。两个综合征出现从考虑这些情况下，这些，如果承认，应有助于及时诊断这种情况下，因此其有效的管理。
DISSECTING aneurysms of the proximal aorta often cause sudden impairment of cerebral blood flow and thus present as a neurologic illness of apoplectic onset. Signs of disordered cerebral function commonly dominate the clinical picture in such cases and thereby tend to obscure recognition of the primary lesion. Although many clinical reports indicate the frequency with which the brain may be affected in aortic dissection, in only 12 such cases has there been a complete necropsy examination of the brain and major branches of the aortic arch.Since recently developed surgical techniques have substantially improved the prognosis of aortic dissection, the necessity for prompt and accurate diagnosis has assumed great importance. This report presents the clinical and pathological features of 16 cases of dissecting aortic aneurysm in which related cerebral dysfunction occurred. Two syndromes emerge from consideration of these cases and these, if recognized, should facilitate the prompt diagnosis of this condition and hence its effective management.