Clinical features of thalamic infarction caused by non-thalamogeniculate artery occlusion
10.19845/j.cnki.zfysjjbzz.2023.0097
- VernacularTitle:非膝状体动脉闭塞导致丘脑梗死临床特征
- Author:
Aiyong YU
1
;
Xuan BAI
1
Author Information
1. Department of Neurology,Song Jiang Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 201699,China
- Publication Type:Journal Article
- Keywords:
Non-thalamogeniculate artery occlusion;
Thalamic infarction;
TOAST classification
- From:
Journal of Apoplexy and Nervous Diseases
2023;40(5):411-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical and etiological features of rare and special thalamic artery(thalamotuberal artery,thalamoperforating artery,and posterior choroidal artery) occlusion. Methods We included 48 patients with thalamogeniculate artery occlusion and 19 patients with non-thalamogeniculate artery occlusion to compare their clinical manifestations and etiological classifications. Results Compared with the thalamogeniculate artery occlusion group,the non-thalamogeniculate artery occlusion group showed a significantly higher percentage of decline in advanced cognition(0.00% vs 21.1%, χ2=10.747,P=0.001),a significantly lower percentage of unilateral sensory disturbance(75% vs 21.1%, χ2=16.466,P<0.001),a significantly higher percentage of large artery atherosclerosis in etiology classification(29.17% vs 84.2%, χ2=16.679,P<0.001),and a significantly larger infarct volume(t=10.86,P<0.001). Conclusion Patients with thalamic stroke caused by non-thalamogeniculate artery occlusion are more likely to have decline in advanced cognition and large artery atherosclerosis. More attention should be paid to large vessel disease screening for such patients.
- Full text:2024061709505224943Clinical features of thalamic infarction caused by non-thalamogeniculate artery occlusion.pdf