松脚 (松脚),松脚 (松脚),松脚 (松脚),松脚 (松脚),松脚
Laura Mumoli1, Giuseppe Magro2, Domenico Bosco3
1Neurology Department, Pugliese Ciaccio Hospital, Catanzaro, Italy. laura.mumoli@gmail.com.
概括
这一案例突出了罕见的脑中风表现,强调了国家卫生研究院脑中风量表 (NIHSS) 在指导急性缺血性脑中风治疗决策方面的局限性.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 脑卒中医学 脑卒中医学
背景情况:
- 超运动运动障碍,如心肌病,是不常见的中风表现.
- 通常情况下,基底腺的病变是相关的,但岛内皮层的参与也被记录在案.
研究的目的:
- 报告由岛内中风引起的急性过渡性肌痛性关节障碍症和脑膜炎的病例.
- 为了说明急性缺血性中风临床决策中的挑战,当NIHSS低但存在运动障碍时.
- 强调神经成像和临床相关性对特定中风呈现的NIHSS得分的重要性.
主要方法:
- 一个78岁的妇女的病例报告显示,她患有急性过渡性肌痛性关节炎和左侧胆固醇.
- 利用CT输液和脑MRI来识别右M2封闭和岛内缺血病变.
- 尽管NIHSS得分较低,但进行了静脉输血栓溶解 (alteplase).
主要成果:
- 神经成像显示了右皮层的低和岛屿性缺血性损伤,节省了基底腺.
- 静脉内血栓溶解导致超运动运动的完全停止.
- 随访MRI证实了局限的岛内缺血性病变,没有深灰质的参与.
结论:
- 急性缺血性中风可以出现高动力运动障碍,即使NIHSS低.
- 血栓溶解的临床决策应该整合神经成像和NIHSS得分之外的临床表现.
- 这一案例强调了NIHSS在评估中风严重程度和指导非典型表现的治疗方面的局限性.
更多相关视频
05:53Low-Cost Gait Analysis for Behavioral Phenotyping of Mouse Models of Neuromuscular Disease
Published on: July 18, 2019
16.6K
08:58Use of a Foot-Induced Digitally Controlled Resistance Device for Functional Magnetic Resonance Imaging Evaluation in Patients with Foot Paresis
Published on: July 7, 2023
325
相关概念视频
Muscles of the Leg that Move the Foot and Toes
1.6K
The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
Anterior Compartment
The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
1.6K
Loose Connective Tissue
7.2K
Loose connective tissue is found between many organs. Its main function is to absorb shock and bind tissues together. It also allows water, salts, and various nutrients to diffuse into cells that are embedded in it or present in adjacent tissues.
Adipose Tissue
Adipose tissue consists primarily of fat storage cells called adipocytes and little extracellular matrix. A large number of capillaries present within adipose tissue allow rapid mobilization of lipid molecules. White adipose tissue is...
Adipose Tissue
Adipose tissue consists primarily of fat storage cells called adipocytes and little extracellular matrix. A large number of capillaries present within adipose tissue allow rapid mobilization of lipid molecules. White adipose tissue is...
7.2K
Introduction to Joints
3.0K
The adult human body usually has 206 bones, and except for the hyoid bone in the neck, each bone is connected to at least one other bone. Joints are the location where bones come together. Many joints allow for movement between the bones. At these joints, the articulating surfaces of the adjacent bones can move smoothly against each other. However, the bones of other joints may be joined by connective tissue or cartilage. These joints are designed for stability and provide little or no...
3.0K
Static Friction
779
Static friction is a force that opposes the relative motion or tendency of motion between two surfaces in contact. It plays a crucial role in our daily lives, from walking on the ground to driving a car.
For example, consider a scenario where a truck is connected to a car by a rope, ready to tow it along a road. When no external force is applied by the truck, the car remains stationary and is said to be in static equilibrium. In this case, the forces acting on the car, such as gravity and the...
For example, consider a scenario where a truck is connected to a car by a rope, ready to tow it along a road. When no external force is applied by the truck, the car remains stationary and is said to be in static equilibrium. In this case, the forces acting on the car, such as gravity and the...
779
Kinetic Friction
935
Consider a truck trying to pull a stationary car. As the truck exerts a force on the car, static friction is created at the point of contact between the two surfaces. This frictional force resists the car's movement and keeps it at rest. However, when the applied force by the truck surpasses the limiting static frictional force, an interesting phenomenon occurs. The frictional force at the interface reduces to a lower value, known as the kinetic frictional force. At this point, the car...
935
Rolling Without Slipping
3.7K
People have observed the rolling motion without slipping ever since the invention of the wheel. For example, one can look at the interaction between a car's tires and the surface of the road. If the driver presses the accelerator to the floor so that the tires spin without the car moving forward, there must be kinetic friction between the wheels and the road's surface. If the driver slowly presses the accelerator, causing the car to move forward, the tires roll without slipping. It is...
3.7K
