冠状动脉造影

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中英Stroke颅内动脉 [复制链接]

1#
几种比较特别的白癜风的病情 http://www.zgbdf.net/baidianfeng/zhengzhuang/m/21794.shtml
CaseDescription案例描述

A49-year-oldwhite,right-handed,nonmigraineurwomansoughtmedicalattentionatasecondary-levelhospitalbecauseofanunusualheadachethathaslasted3days.Shewasacigarettesmokerandhadahistoryofdepression,forwhichshewastreatedwithtrazodone.Shehadapreviousepisode2yearsbeforepresentationoftransientrightfacialpalsy,andbrainMRIatthetimeshowedmultifocalchronicinfarctsinthemiddlecerebralartery(MCA)territorybilaterally,andanacutewatershedinfarctontheleftMCA(Figure1).Bloodtestsandcerebrospinalfluidanalysishadbeenunremarkable.Shewasthenlosttofollow-up.

白人女性,49岁,右利手,无偏头痛病史,因出现不寻常头痛并持续3天,医院就诊。既往吸烟及抑郁症史,应用曲唑酮治疗。2年前出现过短暂性右侧面神经麻痹,当时头MRI显示双侧大脑中动脉(MCA)分布区多灶性慢性梗死,左侧MCA分水岭急性梗死(图1)。血液检查和脑脊液分析无异常。后来该患者失访。

图1.2年前头MRIA,流体衰减反转序列显示双侧大脑中动脉(MCA)分布区的慢性梗死(白色箭头)。B,弥散加权序列显示左侧MCA分水岭新发梗死(黑色箭头)。

Duringthecurrentadmission,shereportedastheniaandlackofattentionfortheprevious6months.Afterliftingheavyboxes,shedevelopedamildoccipitalheadachethatgraduallyworsened3daystobe

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