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临床资料 CT报告Binswanger’s病60例,男性45例,女性15例,年龄53～76岁,平均63岁,其中50～59岁20例,60～69岁31例,70～79岁9例。临床表现以偏瘫和假性球麻痹为首发症状18例,发病急,1～3天症状达高峰,伴近记忆力减退,计算、定向障碍。亚急性起病25例,3～4周症状达高峰,逐渐出现智能障碍和肢体活动障碍等定位体征。隐袭性或慢性起病17例,主诉头晕,记忆力减退,工作能力下降,查体无神经系阳性体征。有高血压病史42例,其中5年以上病史24例。合并冠心病9例,糖尿病3例,高血脂17例,合并心肌缺血之心电图改变17例。智能检查47例病人异常(按长谷川量表),0～10.0分9例
Clinical data CT reported 60 cases of Binswanger’s disease, 45 males and 15 females, aged 53 to 76 years, mean 63 years, of which 50 to 59 years in 20 cases, 60 to 69 years in 31 cases, 70 to 79 years in 9 cases. Clinical manifestations of hemiplegia and pseudobulbar palsy as the first symptom in 18 cases, the incidence of acute, 1 to 3 days peaked symptoms, with near memory loss, calculation, disorientation. Subacute onset in 25 cases, 3 to 4 weeks the symptoms reached the peak, the gradual emergence of mental retardation and limb movement disorders such as positioning signs. Crypt or chronic onset in 17 cases, complained of dizziness, memory loss, decreased ability to work, physical examination without neurological positive signs. There are 42 cases of hypertension history, of which more than 5 years history of 24 cases. Coronary heart disease in 9 cases, 3 cases of diabetes, 17 cases of hyperlipidemia, ECG changes in 17 cases of myocardial ischemia. 47 cases of patients with abnormal intelligence check (by Hasegawa scale), 0 to 10.0 points in 9 cases