Clinical features of pontine infarction were compared with MRI images of the brain

Objective To investigate the clinical features
of pontine cerebral infarction in combination with cranial MRI.

Methods A total of 45 patients with pontine cerebral infarction admitted to our hospital since 2013 were enrolled, and the etiology, clinical features, and imaging characteristics were
analyzed.

outcome

Pontine cerebral infarction is complicated with a high proportion of hypertension and diabetes, of which 53.
3%
are combined with diabetes and hypertension.
The pontine brain structure is complex, the clinical manifestations after infarction are different, and the localization and diagnosis are inaccurate
.
According to cranial MRI, the types of ponnt cerebral infarction can be divided into five types, namely paramedian artery infarction, short rotator artery infarction, long rotenar artery infarction, watershed infarction, and mixed infarction
.

Among them, paramedian artery infarction and pontine watershed infarction accounted for the vast proportion, and basilar artery stenosis was an independent risk factor
for cerebral infarction in the pontine watershed area.
The paramedian artery is erectular to the basilar artery, and arterial embolism is unlikely to occur according to hemodynamic characteristics, and the common cause may be the basilar artery branch vessel itself or occasionally microembolic lesions
.
Cerebral arteriosclerosis and stenosis are high-risk factors for cerebral infarction, and pontine cerebral infarction is mainly
infarcted by the paramedian artery and the watershed of the paramedian artery and the short rotenated artery.

conclusion

Pontine cerebral infarction is mainly based on infarction in the paramedian artery and watershed area, and arteriosclerosis is the main cause.