Eylem ÖZAYDIN GÖKSU, Şennur DELİBAŞ KATI, Alparslan Melik KAYIKÇİ, Fatma GENÇ, Fatma KURTULUŞ

İzole Pons İnfarktlarının Topografik Lokalizasyonu

Giriş: İzole pontin enfarktüsü (IPI), diğer beyin bölgelerinin tutulmadığı yaygın bir inme lokalizasyonudur. Metod: 1 Ağustos 2019- 1 Mart 2020 tarihleri arasında XXXX hastanesi nöroloji kliniğinde hospitalize edilen hastalar retrospektif olarak incelendi. Kumral ve ark’nın belirlediği şekilde Pons arterlerinin sulama alanlarına bağlı olarak, pons infarktları anteromediyal, anterolateral, tegmental, bilateral ve tek taraflı çoklu pons infarktları olmak üzere 5 alt tipe ayrıldı. Pons infarktları ayrıca üst, orta veya alt bölüm olacak şekilde segmental lokalizasyonuna ayrıldı. Hastaların tüm demografik özellikleri kayıt edildi. Bulgular: Retrospektif olarak incelenen 84 hasta içinden kriterlere uygun olan toplam 70 hasta çalışmaya dahil edildi. Hastaların yaş ortalaması 63,2 ±1,19 (min:33 max: 88)idi. Ortalama NIHSS’u 3,98± 2,8 ve hastaların %70’i erkekti. Risk faktörleri değerlendirildiğinde ilk sırada %78,6 oranıyla HT vardı. . İnfarkt lokalizasyonuna göre; 38 hasta anteromedial (%54,3), 13 hasta anterolateral (%18,6), 11 hastada tegmental (%15,7), 7 hastada unilateral multiple (%10) ve 1 hastada bilateral (%1,4) gözlendi. İnfarktın En sık segmental yerleşimi 31 hasta ile orta ponsta (%44,3) idi. ( 25 hasta alt pons (%35,9 )ve 14 hasta üst ponsta (%20)). Sonuç: Çalışmamızda; 5 farklı anatomik paterne göre ayrılan izole pons infarktları en sık anteromedial bölgede (%54,3) gözlenmiş ve eşlik eden en yaygın vasküler risk faktörünün HT, HPL ve DM olduğu tespit edilmiştir. Anahtar kelimeler: pons infarktı, pons, stroke, lokalizasyon

Anahtar Kelimeler:

pons infarktı, pons, strok, lokalizasyon

The Topographical Localization of The Isolated Pontine Infarcts

Objective: Isolated pontine infarcts (IPI) are seen commonly and known to be without any other serebral infarcts. Material and methods: The patients who are hospitalized between August 1 2019- March 1 2020 in xxxx Education and Research Hospital with isolated pontine infarcts (IPI) were analyzed retrospectively. Depending on the distribution area of the pons arteries, pons infarcts are divided into 5 subtypes: anteromedial, anterolateral, tegmental, bilateral and unilateral multiple pons infarcts. The infarcts are also determined segmentally: upper, middle and lower. Results: 70 patients out of 80 are included in this study. The mean age is 64.5±1.19 (min:33 max: 88). The mean NIHSS is 3.98±2.8. 70% of the patients are male. The most common risk factor is hypertension (78.6%). 38 patients has anteromedial IPI (54.3%), 13 patients has anterolateral IPI (18.6%), 11 patients has tegmental IPI (15.7%), 7 patients has unilaterally multifocal IPI (10%) and 1 patient has bilateral IPI(1.4%). The most common segmental location is found to be in middle pons (44.3%) while 25 of them in the lower pons (35.9% )and 14 of them in the upper pons (20%). Conclusion: We found out anteromedial infarcts are the most common localization in this study (54.3%). The most common risk factors are found to be HT, HPL and DM.

Keywords:

Pontine infarct, Stroke, Localization,

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