案例319:多系统平滑肌功能障碍综合征
Catherine Wing Yan Tam1, King Kenneth Cheung1
1From the Department of Radiology, North District Hospital, 9 Po Kin Road, Sheung Shui, Hong Kong (C.W.Y.T.); and Centre for Medical Imaging, University College London, London, UK (K.K.C.).
Radiology
|November 28, 2023
概括
一个儿科中风病例凸显了一个年轻女孩在神经系统中经常出现的缺陷. 这项研究详细介绍了她复杂的病史和诊断成像发现.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 医疗成像医学成像
背景情况:
- 一个7岁的女孩出现了急性神经缺陷,包括半和失言症.
- 她的病史有两次以前的中风类发作和显著的先天性疾病.
- 她的病史包括先天性脑膜异位症,专利性动脉管,dysautonomia和膀功能障碍.
研究的目的:
- 报告一个复杂的儿科中风病例与反复发作.
- 为了调查一个有着重要的病史的孩子的神经缺陷的潜在原因.
主要方法:
- 临床表现和病史审查.
- 神经学检查和格拉斯哥昏迷尺度评估.
- 实验室调查,包括乳酸水平和凝血病工作.
- 大脑磁共振成像 (MRI) 和MR血管造影.
主要成果:
- 患者表现出右侧半,表达性失言症和反应能力降低.
- 以前发生过类似中风的发作,头痛,运动减少和麻木.
- 最初的血液测试显示静脉乳酸水平略高;凝血病的进展正常.
- 大脑MRI和MR血管图进行了诊断.
结论:
- 儿童中经常发生的神经事件需要进行彻底的调查.
- 要诊断患有复杂病史的儿科患者中风,需要采用综合的方法.
- 先进的神经成像对于评估急性神经缺陷至关重要.
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