ラクナ梗塞における頚動脈硬化の意義　　頚部超音波検査による検討

DOI

書誌事項

タイトル別名
  • Significance of carotid atherosclerosis in patients with lacunar infarction. A study by B-mode ultrasonography.
  • A study by B-mode ultrasonography
  • 頸部超音波検査による検討

抄録

We performed B-mode carotid ultrasonography in 200 cases of lacunar infarction to calculate the plaque scors (PS : mm), and then used the data obtained to evaluate the frequency of occurrence of carotid atherosclerosis and clinical significance. There were 47 cases (23.5%) having a high PS in excess of 7.4 mm, which was more than the mean + 2 SD of the PS of healthy age-matched controls. Among the patients with a high PS, 1) no difference was confirmed regarding the infarction site, 2) 20 cases (42.6%) were complicated by stenosis of an intracranial large vessel on MR angiography, 3) patients with a high PS alone were likely to be older than those with intracranial large vessel stenosis alone, and 4) the levels of serum thrombin-ATIII complex and lipoprotein (a) were higher than those in patients without large vessel disease in the cervical orintracranial regions. Advanced cervical plaque in patients with lacunar infarction may thus be accompanied by intracranial large vessel disease, be more strongly affected by aging than intracranial large vessel disease, and activate coagulation. We conclude that ultrasographic examinations are useful in determining the treatment for lacunar infarction.

収録刊行物

  • 脳卒中

    脳卒中 21 (2), 195-199, 1999

    一般社団法人 日本脳卒中学会

キーワード

詳細情報 詳細情報について

  • CRID
    1390282679613878784
  • NII論文ID
    130003439058
  • DOI
    10.3995/jstroke.21.195
  • ISSN
    18831923
    09120726
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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