Clinical and imaging features of adult poststroke Wale's disease(report of 3 cases)
10.3969/j.issn.1004-1648.2024.02.015
- VernacularTitle:成年人脑卒中后华勒变性的临床及影像学特点(附3例报告)
- Author:
Mengqian YUN
1
;
Xinsheng HAN
Author Information
1. 475000 新乡医学院附属开封市中心医院神经内科
- Keywords:
stroke;
pons;
pyramidal tract;
Wallerian degeneration
- From:
Journal of Clinical Neurology
2024;37(2):120-124
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical and imaging features of adult brain stroke with Wallerian degeneration.Methods The clinical and imaging data of 3 adult patients with post-stroke Wallerian degeneration were retrospectively analyzed,and the literature was reviewed.Results All the three patients had a history of stroke,and the disease recurred several months later.Head MRI examination showed abnormal signals in the pontine,which were consistent with the disfigurement of the pyramidal tract of the primary lesion.Combined with the clinical symptoms of the patients,they were diagnosed as post-stroke Wallerian degeneration.Conclusions Patients with Wallerian degeneration after stroke may show changes in clinical symptoms,and are easily misdiagnosed as cerebral infarction,often with poor prognosis.Clinical awareness of this disease should be improved to avoid misdiagnosis,so as to improve the prognosis of patients and improve the quality of life.
