[一个由中枢结脉中风后引起的麻木下巴综合征病例]
Naoki Sawada1, Miki Ueda1, Toshitaka Umemura1
1Department of Neurology, Chubu Rosai Hospital.
Rinsho shinkeigaku = Clinical neurology
|August 25, 2024
概括
麻木下巴综合征,以面部麻木为特征,可能是后中环中小皮质梗塞的结果. 这一案例突出了这种神经症状的新原因.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 血管神经学 血管神经学
背景情况:
- 巴下巴综合征 (NCS) 是一种影响下巴和下唇的感觉障碍.
- 之前的NCS病例已被归因于胸膜梗塞.
- 对于NCS的皮质起源,特别是来自后中心环的起源,人们对其理解较少.
研究的目的:
- 报告一个新的麻木下巴综合征病例.
- 为了确定该患者NCS的特定神经解剖相关物.
- 调查观察到的神经系统缺陷的潜在病因.
主要方法:
- 一个67岁的男性突然出现麻木的临床表现和神经学检查.
- 磁共振成像 (MRI) 用于检测脑梗塞.
- 磁共振血管造影 (MRA) 评估大脑动脉狭窄.
- 頸動脈超聲波檢查,以評估頸動脈分開的情況.
主要成果:
- 患者呈现出右下唇和下巴的孤立麻木.
- 核磁共振扫描显示,左侧中央后回形中发生了小小的急性心脏病发作.
- 核磁共振没有显示显著的大脑动脉狭窄.
- 动脉超声波检测发现左动脉分叉处有不规则壁的软斑块.
- 诊断为动脉性脑栓塞,并开始抗血小板治疗.
结论:
- 在后中枢环中发生的小皮质梗塞可以表现为麻木下巴综合征.
- 这代表了第一个报告的NCS病例,由中枢后回形中风引起.
- 动脉性脑栓塞是源于皮质病变的NCS的潜在原因.
关键词:
大脑梗塞 脑梗塞错误的定位标志标志是错误的麻木下巴综合征 麻木下巴综合征在Postcentral Gyrus之后的时间里身体感官区域 (somatosensory area) 是一个体感官区域.更多相关视频
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