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近年来日益增多的CT脑白质影像改变引起了神经病学家的关注。本文报告2例CT扫描发现多灶脑梗塞并脑白质疏松患者的临床资料如下: 例1 吕××男63岁干部住院号187315,1987年12月4日入院。病者系3年来无明显诱因逐渐出现言语不利,近两年碎步行走,伴有记忆力下降,近记忆力尤著,情绪不稳、性格固执,易暴躁打人,常无目的漫游,有时不能回到原地,走错屋门。高血压史30年,有抽烟嗜好,否认遗传家族史。查体:T36℃,P80次/分,BP150/80mmHg,心肺无异常,腹软,肝脾未触及,双下肢无浮肿。神经系统检查:神清表情淡漠,瞬目动作尚好。无明显面具表情,无静止性震颤,走路起步困难,呈“粘胶样”步态,呈不完
In recent years, a growing number of CT white matter changes caused neurologists attention. This article reports 2 cases of CT scan found in patients with multifocal cerebral infarction and leukoaraius clinical data are as follows: Example 1 Lu XX male 63-year-old cadre hospitalization 187315, December 4, 1987 admission. In the past three years, there was no apparent incentive for the patient to make speech unfavorable. In the past two years, he walked with broken steps accompanied by decreased memory, near memory, emotional instability, stubborn personality, easy temper, often without aim roaming and sometimes unable to return In place, the wrong house door. Hypertension for 30 years, smoking habit, denied the genealogical family history. Physical examination: T36 ℃, P80 beats / min, BP150 / 80mmHg, no abnormal cardiopulmonary, abdominal soft, liver and spleen not touched, no swelling of both lower extremities. Neurological examination: Shen Qing expression of indifference, blinking action is still good. No obvious mask expression, no rest tremor, walking difficult, was “viscose” gait, was incomplete