Analysis of clinical characteristics and prognosis of patients with thalamic infarction
10.3969/j.issn.1673-9701.2024.04.008
- VernacularTitle:丘脑梗死患者的临床特点及预后分析
- Author:
Ying YANG
1
;
Yongwei DUAN
1
Author Information
1. Department of Neurology, Beijing Shuili Hospital, Beijing 100036, China
- Publication Type:Journal Article
- Keywords:
Thalamic infarction;
Clinical characteristics;
Prognosis
- From:
China Modern Doctor
2024;62(4):31-33,55
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical characteristics and prognosis of patients with thalamic infarction.Methods The clinical data of 47 patients with simple thalamic infarction hospitalized in Beijing Shuili Hospital from January 2016 to January 2022 were retrospectively analyzed.Cranial magnetic resonance imaging and diffusion weighted imaging were used to determine the infarct area of the thalamus,and the clinical characteristics and prognosis of patients with different thalamic infarction regions were observed.Results Among 47 patients with simple thalamic infarction,there were 4 cases of anterior nucleus infarction,22 cases of lateral nucleus infarction,13 cases of medial nucleus infarction and 8 cases of posterior nucleus infarction.The most common clinical manifestations were contralateral hemiplegia,hemidysesthesia and memory impairment.The clinical prognosis of patients with lateral nucleus,anterior nucleus and posterior nucleus infarcts was better,and the prognosis of patients with medial nucleus infarcts was worst.At 90 days of follow-up,the scores of the modified Barthel index were significantly higher than those at admission(P<0.05).Conclusion Patients with thalamic infarction were prone to clinical manifestations such as hemiplegia,hemidysesthesia and memory impairment,but the overall prognosis is good.
