Advance in Cerebral Watershed Infarction

doi:10.3969/j.issn.1673-5765.2019.04.020

Abstract

Abstract:

Cerebral watershed infarction (CWI) is defined as an ischemic lesion at the border zones between territories of two adjacent major arteries. CWI is a common type of cerebral infarction. This article reviewed the progress in high risk factors, pathogenesis, clinical types and features, imaging characteristics and treatment of CWI in recent years. The systematic and powerful evidence in risk factors and treatment of CWI now still lack, while more research in the other aspects have been done, and pathogenesis, imaging, clinical types and features of CWI are increasing clearer.

Key words: Watershed cerebral infarction; High risk factor; Pathogenesis; Clinical manifestation; Imaging characteristics

摘要：

分水岭脑梗死（cerebral watershed infarction，CWI）（也被称为边缘带脑梗死），是发生在具有特征性位置的相邻血管供血区交界处的缺血性病变，是临床上常见的脑梗死类型。本文从CWI的高危因素、发病机制、临床分型及表现、影像学检查4个方面回顾了近年的研究进展。其中关于CWI的发病机制、临床分型及表现、影像学检查3方面已日趋完善，但部分高危因素（诱因及原发病等）仍缺乏系统的研究。

关键词: 分水岭脑梗死; 高危因素; 发病机制; 临床表现; 影像学表现

XU Ming-Yang, YAN Bing-Chun, SU Pei-Qing. Advance in Cerebral Watershed Infarction[J]. Chinese Journal of Stroke, 2019, 14(04): 395-399.

徐名扬，颜丙春，苏佩清. 分水岭脑梗死的相关研究进展[J]. 中国卒中杂志, 2019, 14(04): 395-399.

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