在严重中风患者中延迟诊断关节脱
Tatsuya Tanaka1, Nobuaki Momozaki2, Eiichiro Honda3
1Department of Neurosurgery, International University of Health and Welfare, Narita Hospital, Narita, JPN.
Cureus
|October 8, 2024
概括
脑卒中患者患有持续性消化不良可能出现关节 (TMJ) 脱. 迅速诊断和治疗关节脱位可以帮助患者恢复口服养并改善结果.
科学领域:
- 神经学 神经学
- 口腔和牙面部外科手术
- 放射学 放射学是指放射学
背景情况:
- 脑梗塞和胺出血可能导致神经系统缺陷,包括食.
- 脑卒中患者的持续性消化不良通常需要长期的肠道养.
- 关节 (TMJ) 脱位是一种潜在的,虽然经常被忽视的,口腔关节功能障碍的原因.
研究的目的:
- 要突出中风引起的神经缺陷和关节 (TMJ) 脱之间的关联.
- 强调先进成像在诊断脑关节脱中风患者的功能失调中发挥的作用.
- 报告TMJ脱的成功干预,使口服养恢复成为可能.
主要方法:
- 一个79岁的女性病例报告,在病史中曾经患有脑梗塞和膜出血.
- 利用计算机断层扫描 (CT) 扫描,包括轴向和3D重建,以评估关节.
- 在全身麻醉下进行封闭的手动缩减,用于双边前关节脱.
主要成果:
- 患者在中风后表现出意识变化,半和持续性消化不良.
- CT成像显示慢性双边前肌脱位与一个空的腺穴.
- 成功关闭手动减少TMJ脱使患者能够恢复口服养.
结论:
- 关节 (TMJ) 脱位应考虑在中风患者持续性失足症的差异诊断中.
- 早期识别和管理关节脱是改善功能结果的关键,例如口服饮食的能力.
- 涉及神经学,放射学和口腔手术的多学科评估对管理复杂病例有益.
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