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目的研究成人烟雾病的临床及DSA特点以指导临床工作。方法对17例经DSA检查确诊的成人烟雾病患者的首发症状、临床表现及DSA检查结果进行回顾分析。结果本组患者最常见的首发症状为缺血性脑血管病,共9例(52.9%);脑出血表现6例(35.3%);非典型血管病(头晕)2例(11.8%);DSA表现为双侧颈内动脉末端和/或大脑前动脉、大脑中动脉起始部狭窄或闭塞病变,烟雾状血管网及侧支循环建立。结论成人烟雾病患者的临床表现以缺血性脑血管病为主;对于青壮年血压不高,反复出现脑梗死、脑出血,应考虑烟雾病的可能,及早行DSA检查以明确诊断。
Objective To study the clinical and DSA features of adult moyamoya disease to guide the clinical work. Methods The onset symptoms, clinical manifestations and DSA findings of 17 adult patients with moyamoya disease confirmed by DSA were retrospectively analyzed. Results The most common initial symptom in this group was ischemic cerebrovascular disease in 9 cases (52.9%), 6 cases (35.3%) in cerebral hemorrhage, 2 cases (11.8%) in atypical vascular disease (dizziness), DSA The performance of the bilateral carotid artery and / or anterior cerebral artery, the beginning of the middle cerebral artery stenosis or occlusion lesions, smoke-like vascular network and collateral circulation. Conclusion The clinical manifestations of adult patients with moyamoya disease are mainly ischemic cerebrovascular diseases. For young adults with low blood pressure, recurrent cerebral infarction and cerebral hemorrhage, the possibility of moyamoya disease should be considered and DSA examination should be performed as early as possible to confirm the diagnosis.