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MR血管壁成像显示颈动脉漂浮血栓一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Radiology
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1005-1201.2018.06.015
- Key Word:
- No keyword available
Abstract： 患者 男,49岁,因活动时突发左侧肢体无力16 h,伴口角右歪、言语不清,于2017年6月7日至当地医院行头颅CT检查,提示脑梗死,予药物治疗(具体不详),言语不清症状有所改善,为进一步治疗于2017年6月11日至我院就诊.患者有吸烟、饮酒和高血压病史,口服美托洛尔(25 mg,2次/d)降压治疗,血压控制情况不详.查体:神志清楚,言语欠清,口角无偏斜,伸舌居中;肌力:左侧肢体5级减、右侧5级,四肢肌张力正常,双侧巴氏征阴性;左侧指鼻试验稳准、快复轮替试验阳性、跟膝胫试验欠稳准,右侧指鼻试验稳准、快复轮替试验阴性、跟膝胫试验稳准.无不自主运动,偏瘫步态,走"一"字欠稳.实验室检查:同型半胱氨酸18.58μmol/L,血常规未见异常,红细胞沉降率正常,免疫相关检查未见异常.
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