脳卒中の分類と特徴

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脳梗塞・・・脳血栓、脳塞栓、ラクナ梗塞などがある。

  • アテローム血栓症・・・頭蓋内外の主幹動脈のアテローム硬化の血栓により血管が閉塞する。動脈硬化の危険因子である糖尿病や高血圧や高脂血症を持つ人に多い。一過性脳虚血発作(TIA)が前駆することがある。段階的に症状が悪化する。
  • 心原性塞栓症・・・心疾患(心房細動・弁膜症)に供なって、心腔内に血栓が生じ、これが剝がれて脳動脈を急速に閉塞する。重症例が多い。
  • ラクナ梗塞・・・「ラクナ」は小空洞を意味する。脳内を走る直径0.2ミリ~0.3ミリ位の動脈が閉塞してできた小梗塞

脳内出血・・・大脳深部の動脈の破たんをきたすものが多い。老人や高血圧の人に多い。神経症状は急速に進行し、ほとんどが数時間以内に完成する。

クモ膜下出血・・・クモ膜下腔に出血が生じ、激しい頭痛(バットで殴られたような痛み)がある。脳動脈瘤の破たんが原因となるものが多い。

 

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