| 刘丽霞,郝永楠,李红芳,张来忠,张爱梅.癌症合并多灶性隐源性脑梗死影像学特点[J].济宁医学院学报,2018,41(5):332-334,339 |
| 癌症合并多灶性隐源性脑梗死影像学特点 |
| Imaging features of cancer patients with multiple cryptogenic cerebral infarction |
| 投稿时间：2018-05-27 |
| DOI：10.3969/j.issn.1000-9760.2018.05.007 |
| 中文关键词: 隐源性脑梗死;癌症;D-二聚体 |
| 英文关键词: Cryptogenic cerebral infarction;Cancer;D-dimer |
| 基金项目:山东省自然科学基金资助项目（ZR201702150318）；济宁市科技计划发展资助项目（济科字2016-56-7） |
| 作者 | 单位 | E-mail | | 刘丽霞 | 济宁医学院附属医院, 济宁 272029 | | | 郝永楠 | 济宁医学院附属医院, 济宁 272029 | | | 李红芳 | 济宁医学院附属医院, 济宁 272029 | | | 张来忠 | 济宁医学院附属医院, 济宁 272029 | | | 张爱梅 | 济宁医学院附属医院, 济宁 272029 | zhangaimei_666@163.com |
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| 中文摘要: |
| 目的 通过对影像学表现为多灶性多血管分布区隐源性脑梗死患者进行分析，探讨其与癌症的关系。方法 收集并分析2016年1月至2018年3月间我科收治的3例影像学表现典型的急性多灶性多血管分布区隐源性脑梗死合并癌症病例，并进行相关文献复习。结果 3例脑梗死患者均无脑血管病常见发病机制（大动脉粥样硬化性、心源性、小血管性等），头部MRI显示为多灶性多血管分布区脑梗死，伴D-二聚体异常增高和肿瘤标记物增高。3例患者均在入院前近期或入院后检查出有恶性肿瘤，分别为肺癌2例、胃癌1例。结论 当急性脑卒中患者，影像学表现为多灶性多血管分布区脑梗死时，要高度警惕存在癌症的可能，应积极完善D-二聚体、肿瘤标记物、影像学检查等进一步筛查。 |
| 英文摘要: |
| Objective To investigate the association between multiple cryptogenic cerebral Infarction and cancer by analyzing the neuroimaging presentation of multiple vascular territory lesions.Methods We collected the clinical data of 3 cancer cases diagnosed as cryptogenic cerebral infarction with typical multiple vascular territory lesions from January 2016 to March 2018,of which the cases were analyzed and discussed with literature reviewed.Results The 3 cases began as acute stroke without conventional mechanisms(large artery atherosclerosis,cardioembolisms and small vessel disease),but with the elevated D-dimer and abnormal tumor markers.Head MR showed multiple vascular territory lesions.All of the three cases were diagnosed as malignant tumors pre-hospital or after admission including 2 lung cancers and 1 gastric cancer.Conclusion The examinations should be performed to search for tumor when the stroke happened,which was characterized by multiple vascular territory lesions in MRI. |
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