摘要老年人群中无症状脑梗死患病率可高达28％,其不良预后主要为症状性脑梗死和认知障碍.为了规范化诊治,中华医学会神经病学分会及其脑血管病学组拟定了专家共识:(1)诊断部分提出磁共振扫描优于CT,以及磁共振扫描的序列;(2)如何鉴别诊断,避免误诊;(3)治疗主要包括干预高血压、糖尿病、心房颤动等危险因素,防止过度治疗,并提出了诊疗路径.

abstractsThe prevalence of silent brain infarction (SBI) in elderly people is as high as 28％,which could progress to symptomatic cerebral infarction and cognitive impairment.In order to standardize diagnosis and treatment of SBI,Chinese Society of Neurology and Chinese Stroke Society organize experts in China to show strong evidence and give advices on the following issues:(1) MRI is superior to CT on the diagnosis of SBI,and associated sequence of MRI is described.(2) How to identify SBI to avoid misdiagnosis.(3) Management of SBI mainly focuses on the prevention of risk factors,such as hypertension,diabetes,atrial fibrillation and so on.An appropriate diagnosis and treatment path is proposed to avoid over diagnosis and treatment.