本文選題：小腦中腳 + 言語(yǔ)不清　； 參考：《廣東醫(yī)學(xué)》2017年21期

【摘要】：正患者,男,73歲,因言語(yǔ)不清、肢體無(wú)力5個(gè)月、加重2個(gè)月于2016年10月5日入院�；颊�5個(gè)月前因突發(fā)言語(yǔ)不能、肢體無(wú)力至當(dāng)?shù)蒯t(yī)院就診,顱腦MRI示雙側(cè)腦橋長(zhǎng)T1、T2信號(hào)及DWI彌散受限;雙側(cè)小腦中腳未見異常信號(hào)。顱腦MRA示顱內(nèi)血管走行僵直,多發(fā)管腔不規(guī)則狹窄。診斷為腦梗死,予抗小板聚集、降脂、改善循環(huán)及康復(fù)治療后好轉(zhuǎn)出院,遺留雙側(cè)肢體力弱,可自行站立,家屬扶助方能行走,仍言語(yǔ)不清。2個(gè)月來(lái)患者逐漸出現(xiàn)四肢活動(dòng)笨拙,起身站立困難,言語(yǔ)障礙加重,感頭暈不
[Abstract]:The patient, 73 years old, was admitted to hospital on October 5, 2016, due to inarticulate speech and physical weakness for 5 months. The patient was unable to speak suddenly 5 months ago, and his limbs were weak. The craniocerebral MRI showed that the T _ 1T _ 2 signal and DWI diffusion of bilateral pontine were limited, and no abnormal signal was found in the bilateral cerebellum. Craniocerebral MRA showed stiffness of intracranial vessels and irregular stenosis of multiple lumen. Diagnosis of cerebral infarction, anti-lamellar aggregation, lipid lowering, circulation improvement and rehabilitation treatment after the improvement and discharge, left bilateral limbs weak, can stand on their own, family assistance can walk, Over the past two months, the patient has gradually developed clumsy movements of the limbs, difficulty in standing up, aggravation of speech disorders, and lack of feeling of dizziness
【作者單位】： 九江學(xué)院附屬醫(yī)院神經(jīng)內(nèi)科;
【分類號(hào)】：R742

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