Comparison of clinical and imaging features between Trousseau syndrome and atrial fibrillation-related acute multiple cerebral infarction
10.19845/j.cnki.zfysjjbzz.2021.0135
- VernacularTitle:Trousseau综合征和心房纤颤相关急性多发性脑梗死的临床与影像特点比较
- Author:
Fanghui LIU
1
;
Jintao WANG
1
;
Yitong LING
1
Author Information
1. Department of Neurology,People Hospital of Rizhao,Rizhao 276800,China
- Publication Type:Journal Article
- Keywords:
Trousseau syndrome;
Acute multiple cerebral infarction;
Atrial fibrillation;
D- dimer;
DWI
- From:
Journal of Apoplexy and Nervous Diseases
2021;38(6):505-508
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the clinical characteristics and differentiation between TS-AMCI and AF-AMCI.It aims to help clinicians better distinguish and treat patients with two diseases.Methods The clinical symptoms,imaging tests,prognostic data of 30 TS-AMCI (TS-AMCI group) and 39 AF-AMCI (AF-AMCI group) who received hospital treatment from June 2017 to June 2020 in Rizhao people’s Hospital were retrospectively analyzed.Results The proportion of hypertension,diabetes and stroke history in TS-AMCI group was lower than that in AF-AMCI group (P＜0.05);But the plasma fibrinogen and D-dimer in TS-AMCI group were significantly higher than those in AF-AMCI group (P<0.001).The proportion of the number of cerebral infarction lesions less than 10 in DWI of TS-AMCI group was significantly lower than that in AF-AMCI group (P<0.001).The number of cerebral infarction lesions in bilateral anterior and posterior circulation in TS-AMCI group was significantly higher than that in AF-AMCI group(P＜0.001),while,AF-AMCI group was characterized by unilateral anterior circulation,which was significantly higher than that in TS-AMCI group (P＜0.001).The mRS score and the Death cases at 30 days of follow-up in TS-AMCI group were significantly higher than those in AF-AMCI group (P＜0.05).Conclusion Compared with the AF-AMCI group.The traditional risk factors of stroke such as hypertension and diabetes in TS-AMCI group were more rare than those in AF-AMCI group.The plasma fibrinogen and D-dimer value increased more obviously and multiple small lesions in the blood supply area of multiple arteries were more common in TS-AMCI group.There was no significant difference in clinical manifestations at the onset of the disease between the two groups,but the prognosis of TS-AMCI group was poor at 30 days.
- Full text:2024072922013256887Comparison of clinical and imaging features between Trousseau syndrome and atrial fibrillation-related acute multiple cerebral infarction.pdf
